NPI 1003169095

Nicole Lee Ambrose

Practitioner Speech-Language Pathologist Staten Island, NY

Practice location

Address: 1000 South Avenue, Staten Island, NY 10314-3409
Phone: (718) 477-0961
Fax: (718) 761-1643
Mailing address: 350 Richmond Ter APT 3c, Staten Island, NY 10301-1518

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 021832 (NY)

Other Speech-Language Pathologist providers in New York →

Registry record

NPI: 1003169095
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2012
Record last updated: 3 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.