MEDICARE: RANDI POSNER 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
1	235Z00000X	Speech-Language Pathologist	018541	NY

General Provider Information

NPI Number	:	1215262019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDI POSNER MA, CCC-SLP

Provider Business Mailing Address
First Line	:	1499 HORSESHOE DR
Second Line	:
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-2458
Country	:	US
Telephone Number	:	516-578-8827
Fax Number	:

Provider Business Practice Location Address
First Line	:	1499 HORSESHOE DR
Second Line	:
City	:	NORTH BELLMORE
State	:	NY
Zip	:	11710-2458
Country	:	US
Telephone Number	:	516-578-8827
Fax Number	:

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

Provider Enumeration Date	:	10/12/2009
Last Update Date	:	11/28/2016

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