MEDICARE: MR. HOWARD SCHEAR SPECIAL ED. TEACHER

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	235500000X	Speech/Language/Hearing Specialist/Technologist	235500000X	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45800	OTHER	NY	EARLY INTERVENTION SPECIAL INSTRUCTION PROVIDER

General Provider Information

NPI Number	:	1952538415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HOWARD SCHEAR SPECIAL ED. TEACHER

Provider Business Mailing Address
First Line	:	415 BEVERLEY RD
Second Line	:	UNIT LT
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3153
Country	:	US
Telephone Number	:	718-876-5140
Fax Number	:	718-876-5140

Provider Business Practice Location Address
First Line	:	415 BEVERLEY RD
Second Line	:	UNIT LT
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3153
Country	:	US
Telephone Number	:	718-972-6561
Fax Number	:	718-633-5262

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

Provider Enumeration Date	:	06/11/2009
Last Update Date	:	06/11/2009

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