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NPI Code Detail

MEDICARE: MS. CATHY S CARPENTER

MEDICARE: MS. CATHY S CARPENTER
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 Pathologist012420-1NY

General Provider Information

NPI Number : 1154576122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CATHY S CARPENTER
Provider Business Mailing Address
First Line : 167 CENTRE AVE APT 1B
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10805-2732
Country : US
Telephone Number : 914-654-0390
Fax Number :
Provider Business Practice Location Address
First Line : 20 CEDAR ST
Second Line : SUITE 302
City : NEW ROCHELLE
State : NY
Zip : 10801-5247
Country : US
Telephone Number : 914-576-5292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2008
Last Update Date : 08/01/2019

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Directions to “ MS. CATHY S CARPENTER ” Practice Location

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