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NPI Code Detail

MEDICARE: MADISON S BROWER

MEDICARE:   MADISON S BROWER
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 : 1013682921
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON S BROWER
Provider Business Mailing Address
First Line : 19 ORCHARD HTS
Second Line :
City : NEW PALTZ
State : NY
Zip : 12561-1530
Country : US
Telephone Number : 631-275-6151
Fax Number :
Provider Business Practice Location Address
First Line : 19 ORCHARD HTS
Second Line :
City : NEW PALTZ
State : NY
Zip : 12561-1530
Country : US
Telephone Number : 631-275-6151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2021
Last Update Date : 08/12/2021

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Directions to “ MADISON S BROWER ” Practice Location

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