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NPI Code Detail

MEDICARE: MRS. ROSANNA YU FRIEDMAN MS CCC-SLP

MEDICARE:  MRS. ROSANNA YU FRIEDMAN  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 Pathologist

General Provider Information

NPI Number : 1790006005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSANNA YU FRIEDMAN MS CCC-SLP
Provider Business Mailing Address
First Line : 2077 E 27TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5001
Country : US
Telephone Number : 917-842-9835
Fax Number :
Provider Business Practice Location Address
First Line : 2077 E 27TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5001
Country : US
Telephone Number : 718-615-3077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2010
Last Update Date : 04/20/2013

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Directions to “ MRS. ROSANNA YU FRIEDMAN MS CCC-SLP” Practice Location

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