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Organization

ADVANCED SPEECH PATHOLOGY

Active
Parent organization
JOHN AMATO, EDD, SLP, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOHN AMATO, EDD, SLP, PC
Authorized official
JOHN AMATO EDD (OWNER)
(631) 482-1200
Entity
Organization

Contact information

Practice address
500 W MAIN ST STE 208, BABYLON, NY 11702-3032
(631) 482-1200
Mailing address
PO BOX 504, MOUNT SINAI, NY 11766-0504
(631) 482-1200

Taxonomy

Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
000087
NY
261QH0700X
Hearing and Speech Clinic/Center
00087
NY

Other

Enumeration date
06/08/2012
Last updated
06/08/2012
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