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NPI Code Detail

MEDICARE: NICOLE DALOIA MS. CCC, SLP

MEDICARE:   NICOLE  DALOIA  MS. CCC, SLP
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
1235Z00000XSpeech-Language Pathologist015367-1NY

General Provider Information

NPI Number : 1033597158
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE DALOIA MS. CCC, SLP
Provider Business Mailing Address
First Line : 1468 MADISON AVE
Second Line : BOX 1674
City : NEW YORK
State : NY
Zip : 10029-6508
Country : US
Telephone Number : 212-241-9542
Fax Number :
Provider Business Practice Location Address
First Line : 1468 MADISON AVE
Second Line : BOX 1674
City : NEW YORK
State : NY
Zip : 10029-6508
Country : US
Telephone Number : 212-241-9542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2015
Last Update Date : 05/08/2015

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Directions to “ NICOLE DALOIA MS. CCC, SLP” Practice Location

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