Individual
AMANDA LISA BERMUDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3334 80TH ST, JACKSON HEIGHTS, NY 11372-1341
(718) 457-1242
Mailing address
3334 80TH ST, JACKSON HEIGHTS, NY 11372-1341
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
58025300
NY
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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