Individual
AMANDA KATHLEEN PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2929 EXPRESSWAY DR N STE 225, ISLANDIA, NY 11749-5313
(631) 665-2430
Mailing address
660 WHITE PLAINS RD, TARRYTOWN, NY 10591-5139
(914) 984-2552
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002830
NY
Other
Enumeration date
07/23/2018
Last updated
06/17/2022
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