MEDICARE: MS. GAIL FULD

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	010296	NY

General Provider Information

NPI Number	:	1225280431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. GAIL FULD

Provider Business Mailing Address
First Line	:	45 WATSON AVE
Second Line	:
City	:	OSSINING
State	:	NY
Zip	:	10562-5113
Country	:	US
Telephone Number	:	914-941-1834
Fax Number	:

Provider Business Practice Location Address
First Line	:	1053 SAW MILL RIVER RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-1048
Country	:	US
Telephone Number	:	914-674-0285
Fax Number	:

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

Provider Enumeration Date	:	10/21/2008
Last Update Date	:	10/21/2008

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Directions to “ MS. GAIL FULD ” Practice Location

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