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NPI Code Detail

MEDICARE: ALLYSON MARIE HEALY MS, CCC-SLP

MEDICARE: ALLYSON MARIE HEALY 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
1235Z00000XSpeech-Language Pathologist58021072NY

General Provider Information

NPI Number : 1083900203
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON MARIE HEALY MS, CCC-SLP
Provider Business Mailing Address
First Line : 7616 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2412
Country : US
Telephone Number : 718-630-5100
Fax Number :
Provider Business Practice Location Address
First Line : 7616 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11228-2412
Country : US
Telephone Number : 718-630-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2011
Last Update Date : 12/18/2012

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