MEDICARE: MRS. AMY PATRICIA PARACHE C.C.C., SLP, TSHH

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	013524-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AHL-2847617	OTHER	NY	MARSH INSURANCE
2	013524-1	OTHER	NY	STATE LICENSE

General Provider Information

NPI Number	:	1346386059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY PATRICIA PARACHE C.C.C., SLP, TSHH

Provider Business Mailing Address
First Line	:	10639 DITMARS BLVD
Second Line	:
City	:	EAST ELMHURST
State	:	NY
Zip	:	11369-1935
Country	:	US
Telephone Number	:	917-523-3488
Fax Number	:

Provider Business Practice Location Address
First Line	:	10639 DITMARS BLVD
Second Line	:
City	:	EAST ELMHURST
State	:	NY
Zip	:	11369-1935
Country	:	US
Telephone Number	:	917-523-3488
Fax Number	:

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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