Individual
AMY FARSACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5339 JILLIAN LN, BREWERTON, NY 13029-9448
(315) 299-2509
Mailing address
5339 JILLIAN LN, BREWERTON, NY 13029-9448
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013804-1
NY
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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