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NPI Code Detail

MEDICARE: MRS. STEPHANIE KARIS DOWNEY TOLEDO M.S. CCC- SLP

MEDICARE: MRS. STEPHANIE KARIS DOWNEY TOLEDO 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 Pathologist58018366NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
112119320OTHERAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
258018366OTHERNYNEW YORK STATE EDUCATION DEPARTMENT

General Provider Information

NPI Number : 1568603389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE KARIS DOWNEY TOLEDO M.S. CCC- SLP
Provider Business Mailing Address
First Line : 140 E 40TH ST APT 8F
Second Line :
City : NEW YORK
State : NY
Zip : 10016-1757
Country : US
Telephone Number : 203-449-9468
Fax Number :
Provider Business Practice Location Address
First Line : 140 E 40TH ST APT 8F
Second Line :
City : NEW YORK
State : NY
Zip : 10016-1757
Country : US
Telephone Number : 203-449-9468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2009
Last Update Date : 03/09/2009

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