Nicole Katelyn Amato
Individual provider Active NPI Speech-Language Pathologist · Medford, NY
NPI 1760115828 · NPPES record last updated Jul 6, 2022
Key facts
- NPI
- 1760115828
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 4 Lovers LN
Medford, NY 11763-4081 - Phone
- (631) 680-2907
- NPI assigned
- Jul 6, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
4 Lovers LN
Medford, NY 11763-4081
Mailing address
4 Lovers LN
Medford, NY 11763-4081
Phone (631) 680-2907
Other providers in Medford, NY
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- Brianna Albano-Niedzwieski
- Elizabeth G Alexis
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- David Amram
- Kerry Anderson
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- Julaine Marie Aprea
All providers in Medford, 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 Jul 6, 2022. 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.