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Individual provider Active NPI Speech-Language Pathologist · College Point, NY

NPI 1649556010 · NPPES record last updated Oct 28, 2011

Key facts

NPI
1649556010
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
606 126TH St
College Point, NY 11356-1234
Phone
(917) 517-3009
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

606 126TH St
College Point, NY 11356-1234

Mailing address

606 126TH St
College Point, NY 11356-1234

Other providers in College Point, NY

All providers in College Point, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.