MEDICARE: MRS. LYNN CYNTHIA ZWICK MSCCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	3358	NY

General Provider Information

NPI Number	:	1013155886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LYNN CYNTHIA ZWICK MSCCC

Provider Business Mailing Address
First Line	:	1505 E 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6316
Country	:	US
Telephone Number	:	718-339-8429
Fax Number	:	718-339-5212

Provider Business Practice Location Address
First Line	:	1505 E 4TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6316
Country	:	US
Telephone Number	:	718-339-8429
Fax Number	:	718-339-5212

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2009
Last Update Date	:	01/31/2009

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