MEDICARE: NAOMI PINTER MS/CCC

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	004172-1	NY

General Provider Information

NPI Number	:	1306086681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI PINTER MS/CCC

Provider Business Mailing Address
First Line	:	1250 E 22ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4515
Country	:	US
Telephone Number	:	718-290-0333
Fax Number	:	718-377-0455

Provider Business Practice Location Address
First Line	:	1250 E 22ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4515
Country	:	US
Telephone Number	:	718-377-0455
Fax Number	:

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

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	02/26/2009

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Directions to “ NAOMI PINTER MS/CCC” Practice Location

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