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NPI Code Detail

MEDICARE: MRS. SUZANNE MICHELE SCHROETER CCC-SLP

MEDICARE: MRS. SUZANNE MICHELE SCHROETER CCC-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
1235Z00000XSpeech-Language Pathologist026522NY

General Provider Information

NPI Number : 1417497835
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUZANNE MICHELE SCHROETER CCC-SLP
Provider Business Mailing Address
First Line : 555 PAGE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10307-2033
Country : US
Telephone Number : 718-697-3760
Fax Number :
Provider Business Practice Location Address
First Line : 555 PAGE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10307-2033
Country : US
Telephone Number : 718-697-3760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2017
Last Update Date : 03/03/2017

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Directions to “ MRS. SUZANNE MICHELE SCHROETER CCC-SLP” Practice Location

Language Start Address Practice Location
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