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NPI Code Detail

MEDICARE: MICHELLE PRATA

MEDICARE: MICHELLE PRATA
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 Pathologist012362-1NY

General Provider Information

NPI Number : 1104063189
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE PRATA
Provider Business Mailing Address
First Line : 25 LITTLE PLAINS RD
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4550
Country : US
Telephone Number : 631-266-4425
Fax Number : 631-757-4237
Provider Business Practice Location Address
First Line : 25 LITTLE PLAINS RD
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-4550
Country : US
Telephone Number : 631-266-4425
Fax Number : 631-757-4237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2009
Last Update Date : 01/13/2009

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Directions to “ MICHELLE PRATA ” Practice Location

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