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NPI Code Detail

MEDICARE: AMANDA LISA BERMUDEZ M.S.

MEDICARE:   AMANDA LISA BERMUDEZ  M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist58025300NY

General Provider Information

NPI Number : 1528501210
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA LISA BERMUDEZ M.S.
Provider Business Mailing Address
First Line : 8815 182ND ST
Second Line :
City : HOLLIS
State : NY
Zip : 11423-1733
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8815 182ND ST
Second Line :
City : HOLLIS
State : NY
Zip : 11423-1733
Country : US
Telephone Number : 718-297-9821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2016
Last Update Date : 06/05/2026

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Directions to “ AMANDA LISA BERMUDEZ M.S.” Practice Location

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