Individual
MRS. AMANDA YALE WURTZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E 95TH ST, APT 29G, NEW YORK, NY 10128-4000
(516) 455-8601
Mailing address
225 E 95TH ST, APT 29G, NEW YORK, NY 10128-4000
(516) 455-8601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023375
NY
Other
Enumeration date
04/28/2015
Last updated
04/28/2015
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