Individual
AMY EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5840
Mailing address
103 HADDONFIELD PL, SYRACUSE, NY 13214-1630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
024116
NY
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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