Individual
AMANDA M WINANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ADELAIDE AVE, STATEN ISLAND, NY 10306-3999
(718) 987-0396
Mailing address
200 ADELAIDE AVE, STATEN ISLAND, NY 10306-3999
(718) 987-0396
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026858-1
NY
235Z00000X
Speech-Language Pathologist
41YS00907900
NJ
Other
Enumeration date
09/18/2017
Last updated
07/21/2022
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