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NPI Code Detail

MEDICARE: SAHARA AGGIMENTI MA, CCC-SLP, BSHH

MEDICARE: SAHARA AGGIMENTI MA, CCC-SLP, BSHH
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 Pathologist

General Provider Information

NPI Number : 1467618165
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAHARA AGGIMENTI MA, CCC-SLP, BSHH
Provider Business Mailing Address
First Line : 1028 E 179TH ST
Second Line :
City : BRONX
State : NY
Zip : 10460-2222
Country : US
Telephone Number : 718-842-0200
Fax Number : 718-842-1328
Provider Business Practice Location Address
First Line : 1028 E 179TH ST
Second Line :
City : BRONX
State : NY
Zip : 10460-2222
Country : US
Telephone Number : 718-842-0200
Fax Number : 718-842-1328
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2008
Last Update Date : 08/01/2008

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