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NPI Code Detail

MEDICARE: PAULA OKIN M.A.C.C.C.

MEDICARE:   PAULA  OKIN  M.A.C.C.C.
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 Pathologist3321NY

General Provider Information

NPI Number : 1508920190
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA OKIN M.A.C.C.C.
Provider Business Mailing Address
First Line : 10 LAKE DR
Second Line :
City : MANHASSET HILLS
State : NY
Zip : 11040-1123
Country : US
Telephone Number : 516-627-6391
Fax Number : 516-627-2057
Provider Business Practice Location Address
First Line : 10 LAKE DR
Second Line :
City : MANHASSET HILLS
State : NY
Zip : 11040-1123
Country : US
Telephone Number : 516-627-6391
Fax Number : 516-627-2057
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2006
Last Update Date : 04/04/2019

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Directions to “ PAULA OKIN M.A.C.C.C.” Practice Location

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