MEDICARE: GEENA MERCEDES GARIB

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	:	1568393387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEENA MERCEDES GARIB

Provider Business Mailing Address
First Line	:	2 COLFAX LN
Second Line	:
City	:	NORTH BABYLON
State	:	NY
Zip	:	11703-3006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W MAIN ST STE 152
Second Line	:
City	:	BABYLON
State	:	NY
Zip	:	11702-3009
Country	:	US
Telephone Number	:	631-669-7098
Fax Number	:

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

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/28/2026

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Directions to “ GEENA MERCEDES GARIB ” Practice Location

Language	Start Address	Practice Location

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