Individual
MISS AMANDA MARGARET EISENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W 26TH ST, SUITE 602, NEW YORK, NY 10001-6803
(212) 604-9360
Mailing address
69 GRANT DR E, VALLEY STREAM, NY 11580-1916
(516) 491-3494
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
01/29/2013
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