MEDICARE: MS. LESLIE ARONS MS.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
1	235Z00000X	Speech-Language Pathologist	016356	NY

General Provider Information

NPI Number	:	1063501070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLIE ARONS MS.CCC-SLP

Provider Business Mailing Address
First Line	:	215 E 95TH ST
Second Line	:	APT 33F
City	:	NEW YORK
State	:	NY
Zip	:	10128-4077
Country	:	US
Telephone Number	:	631-721-3272
Fax Number	:

Provider Business Practice Location Address
First Line	:	1468 MADISON AVE
Second Line	:	BOX 1241
City	:	NEW YORK
State	:	NY
Zip	:	10029
Country	:	US
Telephone Number	:	212-241-5486
Fax Number	:

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	07/08/2007

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