Provider Demographics
NPI:1326568304
Name:BLUMENFELD, AMY ELIZABETH (MS CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:ELIZABETH
Last Name:BLUMENFELD
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Gender:F
Credentials:MS CCC/SLP
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Mailing Address - Street 1:344 MAIN STREET
Mailing Address - Street 2:SUITE 402
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549
Mailing Address - Country:US
Mailing Address - Phone:914-666-9553
Mailing Address - Fax:914-666-9302
Practice Address - Street 1:344 MAIN STREET
Practice Address - Street 2:SUITE 402
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549
Practice Address - Country:US
Practice Address - Phone:914-666-9553
Practice Address - Fax:914-666-9302
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2017-06-21
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Provider Licenses
StateLicense IDTaxonomies
NY005943-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist