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NPI Code Detail

MEDICARE: SHIRLEY ROZMAN MS, CCC-SLP

MEDICARE: SHIRLEY ROZMAN 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 Pathologist012975-1NY

General Provider Information

NPI Number : 1043344021
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY ROZMAN MS, CCC-SLP
Provider Business Mailing Address
First Line : 255 W 75TH ST
Second Line : #4I
City : NEW YORK
State : NY
Zip : 10023-1735
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1770 STILLWELL AVE
Second Line :
City : BRONX
State : NY
Zip : 10469-6409
Country : US
Telephone Number : 718-652-9790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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Directions to “ SHIRLEY ROZMAN MS, CCC-SLP” Practice Location

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