Annie Amaya, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Fresh Meadows, NY
NPI 1578892212 · NPPES record last updated Dec 8, 2009
Key facts
- NPI
- 1578892212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 011606-1 (NY)
- Practice address
- 18508 Union Tpke
Fresh Meadows, NY 11366-1700 - Phone
- (718) 264-7250
- Fax
- (718) 264-7922
- NPI assigned
- Dec 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011606-1 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 011606-1 | NY | Yes |
Addresses
Primary practice location
18508 Union Tpke
Fresh Meadows, NY 11366-1700
Mailing address
107 Hillside Blvd
New Hyde Park, NY 11040-2909
Phone (917) 734-8694
Other names
- Miss Annie Diaz
Other providers in Fresh Meadows, NY
- Nicole Angelica Alvarez
- Ayaz Alwani
- Salima Alwani
- Madelyn Amador
- Danielle Amatuccio
- Morgan C Ambro
- Rachel S Ament
- Ameriwound Physicians Ny PLLC
- Elinor Aminov
- Sharona Aminov
All providers in Fresh Meadows, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.