MEDICARE: MS. MAUREEN WOLFF-COLLIN

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

General Provider Information

NPI Number	:	1487926473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MAUREEN WOLFF-COLLIN

Provider Business Mailing Address
First Line	:	4761 BROADWAY APT 5L
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-4912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4761 BROADWAY APT 5L
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10034-4912
Country	:	US
Telephone Number	:	202-277-3769
Fax Number	:

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

Provider Enumeration Date	:	02/06/2012
Last Update Date	:	02/06/2012

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Directions to “ MS. MAUREEN WOLFF-COLLIN ” Practice Location

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