MEDICARE: HARRIET ELIDA KOWALSKI SEIDMAN 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	009016-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184782815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRIET ELIDA KOWALSKI SEIDMAN SLP

Provider Business Mailing Address
First Line	:	3102 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4747
Country	:	US
Telephone Number	:	718-258-5679
Fax Number	:	718-253-4313

Provider Business Practice Location Address
First Line	:	3102 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4747
Country	:	US
Telephone Number	:	718-258-5679
Fax Number	:	718-253-4313

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	05/26/2010

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Directions to “ HARRIET ELIDA KOWALSKI SEIDMAN SLP” Practice Location

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