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NPI Code Detail

MEDICARE: MRS. RACHEL MARIE CICCARELLO M.S., CCC-SLP

MEDICARE: MRS. RACHEL MARIE CICCARELLO M.S., 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
1235Z00000XSpeech-Language Pathologist018734NY

General Provider Information

NPI Number : 1427284744
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL MARIE CICCARELLO M.S., CCC-SLP
Provider Business Mailing Address
First Line : 65 COURT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4916
Country : US
Telephone Number : 347-782-4520
Fax Number :
Provider Business Practice Location Address
First Line : 65 COURT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4916
Country : US
Telephone Number : 347-782-4520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2009
Last Update Date : 08/27/2020

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Directions to “ MRS. RACHEL MARIE CICCARELLO M.S., CCC-SLP” Practice Location

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