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NPI Code Detail

MEDICARE: MEGHAN KATE DASARO MA SLP CCC

MEDICARE: MEGHAN KATE DASARO MA SLP CCC
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 : 1356698062
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN KATE DASARO MA SLP CCC
Provider Business Mailing Address
First Line : 275 WOOLLEY AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-2077
Country : US
Telephone Number : 917-378-4050
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 : 917-378-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2012
Last Update Date : 11/28/2016

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