MEDICARE: MRS. ERICA MEGAN PIKOR 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	014294	NY

General Provider Information

NPI Number	:	1336422088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERICA MEGAN PIKOR SLP

Provider Business Mailing Address
First Line	:	26 WINDMILL RD
Second Line	:
City	:	POUGHKEEPSIE
State	:	NY
Zip	:	12601-6271
Country	:	US
Telephone Number	:	845-849-1639
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 LAKE WALTON RD
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-6309
Country	:	US
Telephone Number	:	845-227-1770
Fax Number	:

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

Provider Enumeration Date	:	09/20/2011
Last Update Date	:	09/20/2011

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