MEDICARE: MISS VAISHALIE SHAH M.A. 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
1	235Z00000X	Speech-Language Pathologist	030229	NY

General Provider Information

NPI Number	:	1235738584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS VAISHALIE SHAH M.A. CCC-SLP

Provider Business Mailing Address
First Line	:	2163 DEAN ST FL 5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2163 DEAN ST FL 5
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4003
Country	:	US
Telephone Number	:	718-789-1191
Fax Number	:

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

Provider Enumeration Date	:	10/19/2020
Last Update Date	:	03/30/2026

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Directions to “ MISS VAISHALIE SHAH M.A. CCC-SLP” Practice Location

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