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NPI Code Detail

MEDICARE: MS. ALLISON ANNE MCQUADE M.S.

MEDICARE: MS. ALLISON ANNE MCQUADE M.S.
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 Pathologist021014NY

General Provider Information

NPI Number : 1558804948
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALLISON ANNE MCQUADE M.S.
Provider Business Mailing Address
First Line : 50 AVENUE P
Second Line : SPEECH ROOM 203
City : BROOKLYN
State : NY
Zip : 11204-6105
Country : US
Telephone Number : 718-621-7711
Fax Number :
Provider Business Practice Location Address
First Line : 50 AVENUE P
Second Line : SPEECH ROOM 203
City : BROOKLYN
State : NY
Zip : 11204-6105
Country : US
Telephone Number : 718-621-7711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2016
Last Update Date : 12/02/2016

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