Individual
MS. AMY VILLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED; NCSP
Contact information
Practice address
538 BROADHOLLOW ROAD, ACHIEVE BEYOND, MELVILLE, NY 11746
(631) 385-7780
Mailing address
538 BROADHOLLOW ROAD, MELVILLE, NY 11746-1710
(631) 385-7780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
08/29/2014
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