MEDICARE: PAIGE ELIZABETH EICHAR ISKRA SPEECH LANGUAGE PATH

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	035496-01	NY
2	235Z00000X	Speech-Language Pathologist	28365	CA

General Provider Information

NPI Number	:	1003542671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAIGE ELIZABETH EICHAR ISKRA SPEECH LANGUAGE PATH

Provider Business Mailing Address
First Line	:	400 MCCHESNEY AVE EXT APT 19-3
Second Line	:
City	:	TROY
State	:	NY
Zip	:	12180-8798
Country	:	US
Telephone Number	:	530-520-7224
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 MCCHESNEY AVE EXT APT 19-3
Second Line	:
City	:	TROY
State	:	NY
Zip	:	12180-8798
Country	:	US
Telephone Number	:	530-520-7224
Fax Number	:

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

Provider Enumeration Date	:	07/26/2022
Last Update Date	:	01/21/2026

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Directions to “ PAIGE ELIZABETH EICHAR ISKRA SPEECH LANGUAGE PATH” Practice Location

Language	Start Address	Practice Location

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