Individual
AMANDA MARIE ANNARUMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4024 AMBOY RD, STATEN ISLAND, NY 10308-2409
(718) 984-9022
(718) 984-9620
Mailing address
662 KATAN AVE, STATEN ISLAND, NY 10312-3423
(917) 710-6089
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/20/2012
Last updated
10/07/2015
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