MEDICARE: MISS CHRISTINA FOSTER 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	024831-01	NY

General Provider Information

NPI Number	:	1326485798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CHRISTINA FOSTER SLP

Provider Business Mailing Address
First Line	:	8801 SHORE RD APT E5E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5411
Country	:	US
Telephone Number	:	917-459-7421
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 SHORE RD APT E5E
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5411
Country	:	US
Telephone Number	:	917-459-7421
Fax Number	:

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

Provider Enumeration Date	:	05/25/2013
Last Update Date	:	03/18/2021

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Directions to “ MISS CHRISTINA FOSTER SLP” Practice Location

Language	Start Address	Practice Location

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