MEDICARE: AGA BILINGUAL SPEECH PATHOLOGY SERVICES P.C.

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	017586	NY

General Provider Information

NPI Number	:	1174901409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGA BILINGUAL SPEECH PATHOLOGY SERVICES P.C.

Provider Business Mailing Address
First Line	:	6327 75TH ST
Second Line	:	1ST FLOOR
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-1817
Country	:	US
Telephone Number	:	646-595-7030
Fax Number	:

Provider Business Practice Location Address
First Line	:	6327 75TH ST
Second Line	:	1ST FLOOR
City	:	MIDDLE VILLAGE
State	:	NY
Zip	:	11379-1817
Country	:	US
Telephone Number	:	646-595-7030
Fax Number	:

Authorized Official
Title or Position	:	BILINGUAL SPEECH PATHOLOGIST
Name	:	MRS. ANA GIOVANNA ARMAS DURAND
Credential	:	MA,SLP-TSLD BE
Telephone Number	:	646-595-7030

Provider Enumeration Date	:	05/06/2015
Last Update Date	:	05/06/2015

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Directions to “AGA BILINGUAL SPEECH PATHOLOGY SERVICES P.C. ” Practice Location

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