Individual
AMANDA DEMARCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 W 81ST ST APT 2A, NEW YORK, NY 10024-7216
(646) 229-2176
Mailing address
155 W 81ST ST APT 2A, NEW YORK, NY 10024-7216
(646) 229-2176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04212162
—
NY
Enumeration date
01/23/2014
Last updated
10/23/2019
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