Individual
AMANDA JENNA RAFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
622 HAWKINS AVE, RONKONKOMA, NY 11779-2374
(631) 240-3579
Mailing address
1514 MADISON AVE, WEST ISLIP, NY 11795-1723
(631) 422-7302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/25/2019
Last updated
12/25/2019
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