Individual
MISS AMANDA L IRIZARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 KENT AVE, BROOKLYN, NY 11205-1581
(718) 473-3808
Mailing address
106 MAGNOLIA DR, MASTIC BEACH, NY 11951-3806
(631) 387-1821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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