Individual
MS. AMANDA D'AMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4277 65TH PL, WOODSIDE, NY 11377-5054
(718) 429-2000
(718) 334-0057
Mailing address
315 ELLIS ST, STATEN ISLAND, NY 10307-1128
(917) 880-2506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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