Individual
AMANDA M BOCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
199 KINGS HWY, WARWICK, NY 10990-3678
(845) 243-3133
Mailing address
26 SYCAMORE CT, HIGHLAND MILLS, NY 10930-2811
(973) 517-7176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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