MEDICARE: MIRIAM SCHATZKAMER

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	018625	NY

General Provider Information

NPI Number	:	1235460700
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRIAM SCHATZKAMER

Provider Business Mailing Address
First Line	:	763 EASTERN PKWY
Second Line	:	#E3
City	:	BROOKLYN
State	:	NY
Zip	:	11213-3449
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2164 RALPH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5406
Country	:	US
Telephone Number	:	718-531-1800
Fax Number	:

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

Provider Enumeration Date	:	01/24/2010
Last Update Date	:	01/24/2010

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Directions to “ MIRIAM SCHATZKAMER ” Practice Location

Language	Start Address	Practice Location

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