MEDICARE: ALIZA LEHRER SLP-CCC

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
2	235Z00000X	Speech-Language Pathologist	015860-1	NY

General Provider Information

NPI Number	:	1568602084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIZA LEHRER SLP-CCC

Provider Business Mailing Address
First Line	:	1753 RYDER ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4308
Country	:	US
Telephone Number	:	718-382-6373
Fax Number	:

Provider Business Practice Location Address
First Line	:	1753 RYDER ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4308
Country	:	US
Telephone Number	:	718-382-6373
Fax Number	:

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

Provider Enumeration Date	:	02/23/2009
Last Update Date	:	09/15/2020

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