Amy Margaret Nardi, B.S, M.S., SLP, CCC

Individual provider Active NPI Speech-Language Pathologist · East Moriches, NY

NPI 1891991675 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1891991675
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
0011750 (NY)
Practice address
19 Johnson Ave
East Moriches, NY 11940-1136
Phone
(631) 909-1863
Fax
(631) 909-1863
NPI assigned
Jun 27, 2007
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
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
0011750NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0011750 NY Yes

Addresses

Primary practice location

19 Johnson Ave
East Moriches, NY 11940-1136

Mailing address

19 Johnson Ave
East Moriches, NY 11940-1136
Phone (631) 909-1863

Other providers in East Moriches, NY

All providers in East Moriches, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.