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NPI Code Detail

MEDICARE: AIMEE GLICKMAN M.S., CCC-SLP, TSSLD

MEDICARE: AIMEE GLICKMAN M.S., CCC-SLP, TSSLD
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 Pathologist020902NY

General Provider Information

NPI Number : 1598053217
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE GLICKMAN M.S., CCC-SLP, TSSLD
Provider Business Mailing Address
First Line : 1838 E 28TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-2515
Country : US
Telephone Number : 917-225-8979
Fax Number :
Provider Business Practice Location Address
First Line : 4211 14TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-1404
Country : US
Telephone Number : 718-854-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2011
Last Update Date : 06/26/2019

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Directions to “ AIMEE GLICKMAN M.S., CCC-SLP, TSSLD” Practice Location

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