Individual
MS. AMY K DEZURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W 96TH ST, APT# 4B, NEW YORK, NY 10025-6323
(917) 202-8673
Mailing address
214 W 96TH ST, APT# 4B, NEW YORK, NY 10025-6323
(917) 202-8673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
011090-1
NY
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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