Individual
AMANDA DUVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
137 KREISCHER ST, STATEN ISLAND, NY 10309-1307
(134) 789-6595
Mailing address
69 BLOOMINGDALE RD, STATEN ISLAND, NY 10309-2815
(917) 837-9823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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