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NPI Code Detail

MEDICARE: IRENE FRENK MS, CCC-SLP

MEDICARE:   IRENE  FRENK  MS, 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 Pathologist015366NY

General Provider Information

NPI Number : 1487899639
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE FRENK MS, CCC-SLP
Provider Business Mailing Address
First Line : 46 PLAINFIELD RD
Second Line :
City : ALBERTSON
State : NY
Zip : 11507-1422
Country : US
Telephone Number : 516-457-9172
Fax Number :
Provider Business Practice Location Address
First Line : 10 LAKE DR
Second Line :
City : MANHASSET HILLS
State : NY
Zip : 11040-1123
Country : US
Telephone Number : 517-627-6391
Fax Number : 516-627-2057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2008
Last Update Date : 12/02/2008

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Directions to “ IRENE FRENK MS, CCC-SLP” Practice Location

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