MEDICARE: MRS. KRISTI ANN BROWN M.S., CCC-SLP, TSSLD

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	030326	NY

General Provider Information

NPI Number	:	1578113577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTI ANN BROWN M.S., CCC-SLP, TSSLD

Provider Business Mailing Address
First Line	:	284 RIDGECREST AVENUE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312
Country	:	US
Telephone Number	:	718-909-8945
Fax Number	:

Provider Business Practice Location Address
First Line	:	3391 RICHMOND AVENUE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10312
Country	:	US
Telephone Number	:	718-608-9170
Fax Number	:

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

Provider Enumeration Date	:	09/12/2019
Last Update Date	:	02/23/2026

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