Active NPIIndividual providerSole proprietor

Amy L Podolak, MA CCC-SLP

Speech-Language Pathologist, in Harrison, New York

NPI Number1295016590
Practice location
75 Fenimore Drive, Harrison, NY 10528
Fax
—
Last updated
August 31, 2011

Amy Lauren Podolak is a Speech-Language Pathologist, based in Harrison, NY. Amy Lauren Podolak practices in Harrison, NY and has the professional credentials of MA CCC-SLP. The NPI Number for Amy Lauren Podolak is 1295016590 and holds a License No. 0136121 (NY). The current practice location address for Amy Lauren Podolak is 75 Fenimore Drive, Harrison, NY 10528 and can be reached out via phone at 914-481-1427.

Provider Profile Details

NPI Number
1295016590
Provider Name
Amy Lauren Podolak
Credential
MA CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
75 Fenimore Drive, Harrison, NY 10528
Phone Number
914-481-1427
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2011
Last Update Date
August 31, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Fenimore Drive
Harrison, NY 10528
Zip
10528
Phone Number
914-481-1427
Harrison, NY 10528Get directions →

Provider Business Mailing Address Details

Address
75 Fenimore Drive
Harrison, NY 10528
City
Harrison
State
NY
Zip
10528
Phone Number
914-481-1427

License Information

License Number
0136121
License State
NY
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amy L Podolak, MA CCC-SLP?

The NPI number of Amy L Podolak, MA CCC-SLP is 1295016590. It was assigned on August 31, 2011 and is currently active in the NPPES registry.

What is the specialty of Amy L Podolak, MA CCC-SLP?

Amy L Podolak, MA CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NY under license number 0136121.

Where does Amy L Podolak, MA CCC-SLP practice?

The practice location is 75 Fenimore Drive, Harrison, NY 10528. The office can be reached at 914-481-1427 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295016590 directly on the NPPES registry website.

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