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NPI Code Detail

MEDICARE: MRS. SAMANTHA SUE SAN FELIPPO M.S., CCC-SLP, TSSLD

MEDICARE: MRS. SAMANTHA SUE SAN FELIPPO 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
1235Z00000XSpeech-Language Pathologist022917NY

General Provider Information

NPI Number : 1609117423
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SAMANTHA SUE SAN FELIPPO M.S., CCC-SLP, TSSLD
Provider Business Mailing Address
First Line : 500 TUCKAHOE RD
Second Line : APARTMENT 5B
City : YONKERS
State : NY
Zip : 10710-5717
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1154 SAW MILL RIVER RD
Second Line :
City : YONKERS
State : NY
Zip : 10710-3210
Country : US
Telephone Number : 914-318-8779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2013
Last Update Date : 12/21/2016

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Directions to “ MRS. SAMANTHA SUE SAN FELIPPO M.S., CCC-SLP, TSSLD” Practice Location

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