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NPI Code Detail

MEDICARE: OLIVIA MARILYN EDEN

MEDICARE:   OLIVIA MARILYN EDEN
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 : 1306700810
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA MARILYN EDEN
Provider Business Mailing Address
First Line : 7 SKY LN
Second Line :
City : LEVITTOWN
State : NY
Zip : 11756-4412
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 W MAIN ST STE 152
Second Line :
City : BABYLON
State : NY
Zip : 11702-3009
Country : US
Telephone Number : 631-669-7098
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ OLIVIA MARILYN EDEN ” Practice Location

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