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NPI Code Detail

MEDICARE: MS. VANESSA M ENG

MEDICARE: MS. VANESSA M ENG
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 Pathologist013075NY

General Provider Information

NPI Number : 1558673558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VANESSA M ENG
Provider Business Mailing Address
First Line : 512 CARROLL ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-1030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 512 CARROLL ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-1030
Country : US
Telephone Number : 718-624-5271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2010
Last Update Date : 01/23/2017

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Directions to “ MS. VANESSA M ENG ” Practice Location

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