Individual
AYALA VANDERPOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
72 FARMEDGE RD, LEVITTOWN, NY 11756-5202
(516) 490-3301
Mailing address
179 EVELYN RD, MINEOLA, NY 11501-3207
(516) 761-0684
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
033036
NY
Other
Enumeration date
12/06/2021
Last updated
09/05/2025
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