Individual
MRS. AMY L SOOJIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
26 WOODFIELD AVENUE, FORT SALONGA, NY 11768-2441
(631) 651-2561
(631) 239-1139
Mailing address
26 WOODFIELD AVENUE, FORT SALONGA, NY 11768-2441
(631) 651-2561
(631) 239-1139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013411
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06938274
—
NY
Enumeration date
01/27/2007
Last updated
03/31/2022
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