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NPI Code Detail

MEDICARE: RADMILA GUREVICH M.A, CCC-SLP

MEDICARE: RADMILA GUREVICH M.A, CCC-SLP
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 Pathologist015464NY

General Provider Information

NPI Number : 1619159324
Entity Type Code : Individual
Provider Name (Legal Business Name) : RADMILA GUREVICH M.A, CCC-SLP
Provider Business Mailing Address
First Line : 1829 RICHMOND RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1829 RICHMOND RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2560
Country : US
Telephone Number : 718-259-4001
Fax Number : 718-259-2009
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2007
Last Update Date : 03/02/2020

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Directions to “ RADMILA GUREVICH M.A, CCC-SLP” Practice Location

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