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NPI Code Detail

MEDICARE: MIRIAM SHAFFER

MEDICARE: MIRIAM SHAFFER
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 : 1871803338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIRIAM SHAFFER
Provider Business Mailing Address
First Line : 762 EMPIRE BLVD
Second Line : APT 4E
City : BROOKLYN
State : NY
Zip : 11213-5633
Country : US
Telephone Number : 310-428-3057
Fax Number :
Provider Business Practice Location Address
First Line : 51 SAINT EDWARDS ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-2932
Country : US
Telephone Number : 718-855-6838
Fax Number : 718-855-7032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2010
Last Update Date : 01/26/2015

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Directions to “ MIRIAM SHAFFER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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