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NPI Code Detail

MEDICARE: PRE-CARE SPEECH LANGUAGE PATHOLOGY PC.

MEDICARE: PRE-CARE SPEECH LANGUAGE PATHOLOGY PC.
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 PathologistNY

General Provider Information

NPI Number : 1235460031
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRE-CARE SPEECH LANGUAGE PATHOLOGY PC.
Provider Business Mailing Address
First Line : 1829 RICHMOND RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2560
Country : US
Telephone Number : 718-259-4001
Fax Number : 718-351-2009
Provider Business Practice Location Address
First Line : 1829 RICHMOND RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2560
Country : US
Telephone Number : 718-259-4001
Fax Number : 718-351-2009
Authorized Official
Title or Position : PRESIDENT
Name : RADMILA GUREVICH
Credential : MA - CCC, SLP.
Telephone Number : 718-259-4001
Provider Enumeration Date : 01/19/2010
Last Update Date : 07/14/2012

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Directions to “PRE-CARE SPEECH LANGUAGE PATHOLOGY PC. ” Practice Location

Language Start Address Practice Location
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