MEDICARE: MRS. SARAH SHIMON MS-CF-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

General Provider Information

NPI Number	:	1275015463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SARAH SHIMON MS-CF-SLP

Provider Business Mailing Address
First Line	:	1206 PLAINVIEW AVE
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-5134
Country	:	US
Telephone Number	:	786-366-5933
Fax Number	:

Provider Business Practice Location Address
First Line	:	3321 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210
Country	:	US
Telephone Number	:	718-531-1800
Fax Number	:

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

Provider Enumeration Date	:	09/04/2018
Last Update Date	:	10/24/2023

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