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NPI Code Detail

MEDICARE: MRS. RUBINI S FREEMAN MS, CCC-SLP

MEDICARE:  MRS. RUBINI S FREEMAN  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 Pathologist018674NY

General Provider Information

NPI Number : 1629511324
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUBINI S FREEMAN MS, CCC-SLP
Provider Business Mailing Address
First Line : 200 NEDRA LANE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1736
Country : US
Telephone Number : 718-984-1197
Fax Number : 718-984-2324
Provider Business Practice Location Address
First Line : 200 NEDRA PL
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-1736
Country : US
Telephone Number : 718-984-1197
Fax Number : 718-984-2324
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2016
Last Update Date : 11/29/2016

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Directions to “ MRS. RUBINI S FREEMAN MS, CCC-SLP” Practice Location

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