MEDICARE: LERMAN SPEECH INC

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	261QH0700X	Hearing and Speech Clinic/Center	019086	NY

General Provider Information

NPI Number	:	1477078335
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LERMAN SPEECH INC

Provider Business Mailing Address
First Line	:	279 MAYBURY AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10308-3251
Country	:	US
Telephone Number	:	917-414-2888
Fax Number	:

Provider Business Practice Location Address
First Line	:	279 MAYBURY AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10308-3251
Country	:	US
Telephone Number	:	917-414-2888
Fax Number	:	917-414-2888

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MS. SVETLANA LERMAN
Credential	:	MS CCC-SLP
Telephone Number	:	917-414-2888

Provider Enumeration Date	:	08/11/2017
Last Update Date	:	08/11/2017

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Directions to “LERMAN SPEECH INC ” Practice Location

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