Individual
MS. AMANDA MARIE FUNCHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 PINEWOOD DR, COMMACK, NY 11725-5612
(631) 499-1237
Mailing address
29 PINEWOOD DR, COMMACK, NY 11725-5612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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