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NPI Code Detail

MEDICARE: MRS. ALLISON EHLERS

MEDICARE: MRS. ALLISON EHLERS
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 Pathologist017204-1NY

General Provider Information

NPI Number : 1013450600
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALLISON EHLERS
Provider Business Mailing Address
First Line : 6125 MARATHON PKWY
Second Line :
City : LITTLE NECK
State : NY
Zip : 11362-2042
Country : US
Telephone Number : 718-224-8060
Fax Number :
Provider Business Practice Location Address
First Line : 6125 MARATHON PKWY
Second Line :
City : LITTLE NECK
State : NY
Zip : 11362-2042
Country : US
Telephone Number : 718-224-8060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 11/30/2016

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Directions to “ MRS. ALLISON EHLERS ” Practice Location

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