MEDICARE: MILAGROS HUAROTO 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		NY

General Provider Information

NPI Number	:	1225277932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILAGROS HUAROTO CCC-SLP

Provider Business Mailing Address
First Line	:	1 UNIVERSITY PLZ
Second Line	:	FOREST HILLS
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5301
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 UNIVERSITY PLAZA
Second Line	:	FOREST HILLS
City	:	BROOKLYN, NY 11201
State	:	NY
Zip	:	11375-3904
Country	:	US
Telephone Number	:	646-888-8888
Fax Number	:

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

Provider Enumeration Date	:	02/19/2009
Last Update Date	:	06/20/2012

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Directions to “ MILAGROS HUAROTO CCC-SLP” Practice Location

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