Individual
AMY GRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
134 W 26TH ST, SUITE 602, NEW YORK, NY 10001-6803
(212) 604-9360
Mailing address
40 HARRISON ST, NEW YORK, NY 10013-2742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0101841
NY
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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