MEDICARE: DR. BAILA EPSTEIN PH.D., CCC-SLP, TSHH

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	015923-1	NY

General Provider Information

NPI Number	:	1376627380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BAILA EPSTEIN PH.D., CCC-SLP, TSHH

Provider Business Mailing Address
First Line	:	525 E 72ND ST APT 2B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-9602
Country	:	US
Telephone Number	:	646-696-1756
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 E 72ND ST APT 2B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-9602
Country	:	US
Telephone Number	:	646-696-1756
Fax Number	:

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	11/17/2010

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Directions to “ DR. BAILA EPSTEIN PH.D., CCC-SLP, TSHH” Practice Location

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