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NPI Code Detail

MEDICARE: MS. JULIA AMY HERZOG MS, CCC/SLP

MEDICARE:  MS. JULIA AMY HERZOG  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 Pathologist013585NY

General Provider Information

NPI Number : 1184958985
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIA AMY HERZOG MS, CCC/SLP
Provider Business Mailing Address
First Line : 418 17TH ST
Second Line : APT 2B
City : BROOKLYN
State : NY
Zip : 11215-6144
Country : US
Telephone Number : 917-596-3778
Fax Number :
Provider Business Practice Location Address
First Line : 418 17TH ST
Second Line : APT 2B
City : BROOKLYN
State : NY
Zip : 11215-6144
Country : US
Telephone Number : 917-596-3778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2009
Last Update Date : 09/25/2009

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Directions to “ MS. JULIA AMY HERZOG MS, CCC/SLP” Practice Location

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