Provider Demographics
NPI:1346386059
Name:PARACHE, AMY PATRICIA (CCC, SLP, TSHH)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:PATRICIA
Last Name:PARACHE
Suffix:
Gender:F
Credentials:CCC, SLP, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10639 DITMARS BLVD
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-1935
Mailing Address - Country:US
Mailing Address - Phone:917-523-3488
Mailing Address - Fax:
Practice Address - Street 1:10639 DITMARS BLVD
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-1935
Practice Address - Country:US
Practice Address - Phone:917-523-3488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013524-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAHL-2847617OtherMARSH INSURANCE
NY013524-1OtherSTATE LICENSE