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NPI Code Detail

MEDICARE: MR. MICHAEL J CHICK MS. SLP

MEDICARE: MR. MICHAEL J CHICK MS. 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 Pathologist003467CT
2235Z00000XSpeech-Language Pathologist014368-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669675179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL J CHICK MS. SLP
Provider Business Mailing Address
First Line : 200 BEACON HILL DR APT 1C
Second Line :
City : DOBBS FERRY
State : NY
Zip : 10522-7021
Country : US
Telephone Number : 914-703-2595
Fax Number :
Provider Business Practice Location Address
First Line : 550 WHITE PLAINS RD
Second Line :
City : EASTCHESTER
State : NY
Zip : 10709-5506
Country : US
Telephone Number : 914-793-6130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 06/10/2025

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