Provider Demographics
NPI:1285457341
Name:AMATO, DARIAN TAYLOR (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:DARIAN
Middle Name:TAYLOR
Last Name:AMATO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4820 W TAFT RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088-4865
Mailing Address - Country:US
Mailing Address - Phone:315-216-0993
Mailing Address - Fax:315-634-6230
Practice Address - Street 1:524 E MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-2668
Practice Address - Country:US
Practice Address - Phone:631-538-0579
Practice Address - Fax:631-881-4413
Is Sole Proprietor?:No
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY034731235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist