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NPI Code Detail

MEDICARE: MS. MELISSA RUFF SHAVER MSP, CCC-SLP

MEDICARE:  MS. MELISSA RUFF SHAVER  MSP, 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 Pathologist010043-1NY

General Provider Information

NPI Number : 1467541714
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA RUFF SHAVER MSP, CCC-SLP
Provider Business Mailing Address
First Line : 82 BEAVER ST
Second Line : UNIT 406
City : NEW YORK
State : NY
Zip : 10005-3302
Country : US
Telephone Number : 646-295-8494
Fax Number :
Provider Business Practice Location Address
First Line : 110 ELMWOOD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-2606
Country : US
Telephone Number : 718-859-5420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 11/05/2010

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Directions to “ MS. MELISSA RUFF SHAVER MSP, CCC-SLP” Practice Location

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