Provider Demographics
NPI:1871463901
Name:MADRIS, ISABELLE JOY
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:JOY
Last Name:MADRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ISABELLE
Other - Middle Name:JOY
Other - Last Name:GAMBINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:101 LEGEND DR APT 3305
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3510
Mailing Address - Country:US
Mailing Address - Phone:914-943-9812
Mailing Address - Fax:
Practice Address - Street 1:581 OLD WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-5079
Practice Address - Country:US
Practice Address - Phone:914-846-8355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-05
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027128235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist