Doctor Name: | MRS. NICOLE D'AMICO-STONBRAKER |
NPI Number: | 1255638201 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 020730 |
Business Practice Address: | 436 Willis Ave 3rd Floor Williston Park, NY - 115962298 |
Business Phone Number: | 5167410729 |
Business Fax Number: | |
Mailing Address: | 43 Island Trail, MT. SINAI |
State: | NY |
Postal Code: | 11766 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/26/2011 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |