Individual
AMANDA MARIE SANTANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 DAISY LANE, CARMEL, NY 10512
(914) 421-8270
Mailing address
281 DAISY LANE, CARMEL, NY 10512
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028009
NY
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05815054
—
NY
Enumeration date
07/19/2017
Last updated
05/04/2020
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