Individual
AMANDA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 RUGBY RD, BROOKLYN, NY 11226-4552
(718) 282-5254
Mailing address
330 RUGBY RD, BROOKLYN, NY 11226-4552
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023082-1
NY
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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