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NPI Code Detail

MEDICARE: STEPHANIE AFFRUNTI MA, CCC-SLP, TSSLD

MEDICARE: STEPHANIE AFFRUNTI MA, CCC-SLP, TSSLD
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 : 1043852254
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE AFFRUNTI MA, CCC-SLP, TSSLD
Provider Business Mailing Address
First Line : 2125 JACKSON AVE
Second Line :
City : SEAFORD
State : NY
Zip : 11783-2605
Country : US
Telephone Number : 347-233-0492
Fax Number :
Provider Business Practice Location Address
First Line : 65 COURT STREET
Second Line : RM. 102
City : BROOKLYN
State : NY
Zip : 11201-4918
Country : US
Telephone Number : 718-935-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2019
Last Update Date : 01/12/2024

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