Individual
AMANDA MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 HAWKINS AVE, RONKONKOMA, NY 11779-2375
(631) 240-3579
Mailing address
49 JESSE WAY, MOUNT SINAI, NY 11766-2345
(631) 873-5126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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