Individual
MRS. AMANDA ANGILLETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 KING ST, MALVERNE, NY 11565-1139
(516) 382-1725
Mailing address
45 KING ST, MALVERNE, NY 11565-1139
(516) 679-0368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
976994151
NY
Other
Enumeration date
09/12/2015
Last updated
10/25/2018
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