Individual
MISS ANTONIA AMANDA ALBURTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
37 W 9TH ST, BAYONNE, NJ 07002-2503
(201) 779-6955
Mailing address
37 W 9TH ST, BAYONNE, NJ 07002-2503
(201) 779-6955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
030321
NY
235Z00000X
Speech-Language Pathologist
41YS01231100
NJ
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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