Individual
BROOKE M AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
620 MAURADER DRIVE, DUNKIRK, NY 14048-1002
(716) 366-9300
Mailing address
134 HOWARD ST, FREDONIA, NY 14063-2104
(716) 410-2337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
018921-1
NY
Other
Enumeration date
06/11/2009
Last updated
01/14/2011
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