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Individual

AMANDA MARIE SCIALABBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1064 LYDIA DR, FRANKLIN SQUARE, NY 11010-1817
(516) 509-5130
Mailing address
1064 LYDIA DR, FRANKLIN SQUARE, NY 11010-1817
(516) 509-5130

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
027098
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/25/2016
Last updated
10/01/2017
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