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NPI Code Detail

MEDICARE: MRS. DEIRDRE ALEXANDRA WHIFFIN SLP

MEDICARE: MRS. DEIRDRE ALEXANDRA WHIFFIN 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 Pathologist020117NY

General Provider Information

NPI Number : 1619410446
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEIRDRE ALEXANDRA WHIFFIN SLP
Provider Business Mailing Address
First Line : 570 74TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-2614
Country : US
Telephone Number : 347-392-6847
Fax Number :
Provider Business Practice Location Address
First Line : 50 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-6105
Country : US
Telephone Number : 718-621-2730
Fax Number : 718-621-2735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2016
Last Update Date : 11/28/2016

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