Physician Compare National (NPI:1962025205)

HEALTHCARE PROVIDER: AMY RENEE PESTREICH M.A. CCC-SLP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1962025205
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1254755325
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200722001019
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PESTREICH
	Individual professional last name
Provider First Name	AMY
	Individual professional first name
Provider Middle Name	RENEE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED SPEECH LANGUAGE PATHOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	43 FERRIS PL
	Group Practice or individual's line 1 address
City	OSSINING
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	105623509
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9146278552
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y