| Doctor Name: | MR. THOMAS P. AMORILLO |
| NPI Number: | 1811956733 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., CCC/SLP |
| License Number: | 002046-1 |
| Business Practice Address: | Vamc-northport 79 Middleville Road Asps-126 Northport, NY - 117682200 |
| Business Phone Number: | 6312614400 |
| Business Fax Number: | 6312666709 |
| Mailing Address: | Vamc-northport79 Middleville Road, 79 Middlevilee Road Asps-126 NORTHPORT |
| State: | NY |
| Postal Code: | 117682200 |
| Phone Number: | 6312614400 |
| Fax Number: | 6312666709 |
| NPI Enumeration Date: | 03/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 002046-1 |
| 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 |