Individual
MS. AMANDA EILEEN EDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS.,SLP
Contact information
Practice address
3839 NEPTUNE AVE, BROOKLYN, NY 11224-1327
(917) 375-6140
Mailing address
3839 NEPTUNE AVE, BROOKLYN, NY 11224-1327
(917) 375-6140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
023506-1
NY
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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