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NPI Code Detail

MEDICARE: MRS. FRANGELICA N LEO M.S., CCC-SLP

MEDICARE: MRS. FRANGELICA N LEO M.S., CCC-SLP
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 Pathologist020061-1NY

General Provider Information

NPI Number : 1033422076
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. FRANGELICA N LEO M.S., CCC-SLP
Provider Business Mailing Address
First Line : 8007 151ST AVE
Second Line :
City : HOWARD BEACH
State : NY
Zip : 11414-1105
Country : US
Telephone Number : 718-570-4853
Fax Number :
Provider Business Practice Location Address
First Line : 15801 CROSSBAY BLVD
Second Line :
City : HOWARD BEACH
State : NY
Zip : 11414-3140
Country : US
Telephone Number : 347-593-8255
Fax Number : 855-592-6874
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2010
Last Update Date : 07/21/2022

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Directions to “ MRS. FRANGELICA N LEO M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
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