Individual
AMY LAUREN ISACOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
8460 PARSONS BLVD, JAMAICA, NY 11432-2544
(718) 298-6161
Mailing address
1047 ROBIN RD, FRANKLIN SQUARE, NY 11010-1729
(516) 825-2217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019162-1
NY
Other
Enumeration date
06/15/2009
Last updated
06/15/2009
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