Amanda Marino
Speech-Language Pathologist, in Ronkonkoma, NY. Individual provider (NPI-1).
NPI number1639865751
StatusActive
Last updated in NPPESApr 12, 2023
Details
- NPI
- 1639865751
- Entity type
- Individual (NPI-1)
- Name
- Amanda Marino
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2023
- Certification date
- Apr 12, 2023
- Last updated
- Apr 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
624 Hawkins AveRonkonkoma, NY 11779-2375
Phone 631-240-3579
Mailing address
49 Jesse WayMount Sinai, NY 11766-2345
Phone 631-873-5126
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All 109 Speech-Language Pathologist providers in Ronkonkoma · All 866 providers in Ronkonkoma
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