Individual
AMANDA FORGIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 WORTMAN AVE, BROOKLYN, NY 11208-5513
(718) 235-3702
Mailing address
184 KILDARE PL, WEST ISLIP, NY 11795-1202
(631) 702-0341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
028286
NY
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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