Individual
AMANDA SISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 STATE ST, SCHENECTADY, NY 12305-1806
(518) 372-1160
Mailing address
7 NEW BRIDGE DR, STILLWATER, NY 12170-1217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952476715
—
NY
Enumeration date
12/18/2009
Last updated
12/18/2009
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