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NPI Code Detail

MEDICARE: MELANYE STROMBERG

MEDICARE: MELANYE STROMBERG
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 Pathologist018684-1NY

General Provider Information

NPI Number : 1447672399
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANYE STROMBERG
Provider Business Mailing Address
First Line : 6932 213TH ST
Second Line : APT B
City : BAYSIDE
State : NY
Zip : 11364-2512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2420 PARSONS BLVD
Second Line :
City : WHITESTONE
State : NY
Zip : 11357-3444
Country : US
Telephone Number : 718-352-2100
Fax Number : 718-352-3654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2014
Last Update Date : 12/27/2016

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Directions to “ MELANYE STROMBERG ” Practice Location

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