Individual
AMY FATTIBENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 HALF HOLLOW RD, DIX HILLS, NY 11746-5828
(631) 592-3700
Mailing address
51 WATERFORD DR, WHEATLEY HEIGHTS, NY 11798-1113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007196-2
NY
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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