Provider Demographics
NPI:1588048938
Name:ZARRIELLO, AMANDA P (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:P
Last Name:ZARRIELLO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 E 3RD ST
Mailing Address - Street 2:ROOM 303
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-7322
Mailing Address - Country:US
Mailing Address - Phone:212-387-0195
Mailing Address - Fax:
Practice Address - Street 1:121 E 3RD ST
Practice Address - Street 2:ROOM 303
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-7322
Practice Address - Country:US
Practice Address - Phone:212-387-0195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026160235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist