Healthcare Provider Details

I. General information

NPI: 1255572806
Provider Name (Legal Business Name): MAGALY MEVS-HAMMOND M.S-CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2009
Last Update Date: 08/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 PROSPECT TER
YONKERS NY
10705
US

IV. Provider business mailing address

402 E 154TH ST STE 1
BRONX NY
10455-1222
US

V. Phone/Fax

Practice location:
  • Phone: 917-312-5553
  • Fax: 718-860-6388
Mailing address:
  • Phone: 718-618-7535
  • Fax: 718-618-7537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number06225-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: