MEDICARE: ANUM AKRAM

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	668583696	NY

General Provider Information

NPI Number	:	1386179422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANUM AKRAM

Provider Business Mailing Address
First Line	:	114 CEDAR AVE
Second Line	:
City	:	HEWLETT
State	:	NY
Zip	:	11557-2414
Country	:	US
Telephone Number	:	516-439-0867
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 W 18TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-4402
Country	:	US
Telephone Number	:	212-488-3645
Fax Number	:

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

Provider Enumeration Date	:	04/26/2017
Last Update Date	:	04/26/2017

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Directions to “ ANUM AKRAM ” Practice Location

Language	Start Address	Practice Location

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