IndividualActive
Amy Ishkanian
NPI 1104250562 · Speech-Language Pathologist · Whitestone, NY
Provider details
- NPI number
- 1104250562
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 023879 (NY)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15715 19th Ave
Whitestone, NY 11357-3820
Phone: (201) 739-0566
Street-level locationGet directions
Mailing address
15734 12th Rd
Beechhurst, NY 11357-1947
Registry dates
- Enumerated
- 2013-08-21
- Last updated
- 2014-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.