MEDICARE: MRS. ABBIE GAIL MASLIN

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	012310-1	NY

General Provider Information

NPI Number	:	1487890885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ABBIE GAIL MASLIN

Provider Business Mailing Address
First Line	:	125 E BETHPAGE RD STE 5
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-4228
Country	:	US
Telephone Number	:	516-833-7893
Fax Number	:	516-833-7894

Provider Business Practice Location Address
First Line	:	125 E BETHPAGE RD STE 5
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-4228
Country	:	US
Telephone Number	:	516-833-7893
Fax Number	:	516-833-7894

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

Provider Enumeration Date	:	01/06/2009
Last Update Date	:	12/31/2013

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