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NPI Code Detail

MEDICARE: MS. VICTORIA CARTER MA,CCC-SLP

MEDICARE: MS. VICTORIA CARTER MA,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 Pathologist010054-1NY

General Provider Information

NPI Number : 1104062892
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICTORIA CARTER MA,CCC-SLP
Provider Business Mailing Address
First Line : 38 W 130TH ST
Second Line : APT. 2
City : NEW YORK
State : NY
Zip : 10037-3652
Country : US
Telephone Number : 212-828-0594
Fax Number :
Provider Business Practice Location Address
First Line : 38 W 130TH ST
Second Line : APT. 2
City : NEW YORK
State : NY
Zip : 10037-3652
Country : US
Telephone Number : 212-828-0594
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2008
Last Update Date : 12/30/2008

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