MEDICARE: SUSAN MELTSER 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
1	235Z00000X	Speech-Language Pathologist		NY

General Provider Information

NPI Number	:	1811641525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN MELTSER M.S. CCC-SLP TSSLD

Provider Business Mailing Address
First Line	:	67 BARB ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-6349
Country	:	US
Telephone Number	:	347-657-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	67 BARB ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312-6349
Country	:	US
Telephone Number	:	347-657-8603
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	08/21/2022

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Directions to “ SUSAN MELTSER M.S. CCC-SLP TSSLD” Practice Location

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