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NPI Code Detail

MEDICARE: ALLISON B PRUSIEWICZ M.S. CCC-SLP

MEDICARE: ALLISON B PRUSIEWICZ M.S. 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 Pathologist8601MA
2235Z00000XSpeech-Language Pathologist023069NY

General Provider Information

NPI Number : 1235483157
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON B PRUSIEWICZ M.S. CCC-SLP
Provider Business Mailing Address
First Line : 50 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-6105
Country : US
Telephone Number : 718-621-2730
Fax Number :
Provider Business Practice Location Address
First Line : 50 AVENUE P
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-6105
Country : US
Telephone Number : 718-621-2730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2012
Last Update Date : 11/28/2016

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Directions to “ ALLISON B PRUSIEWICZ M.S. CCC-SLP” Practice Location

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