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NPI Code Detail

MEDICARE: NINA LUCY PASSERO M.A., CFY-SLP, TSSLD

MEDICARE: NINA LUCY PASSERO M.A., CFY-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 Pathologist

General Provider Information

NPI Number : 1619364924
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA LUCY PASSERO M.A., CFY-SLP, TSSLD
Provider Business Mailing Address
First Line : 580 WHITE PLAINS RD
Second Line :
City : EASTCHESTER
State : NY
Zip : 10709-5506
Country : US
Telephone Number : 914-793-6130
Fax Number :
Provider Business Practice Location Address
First Line : 580 WHITE PLAINS RD
Second Line :
City : EASTCHESTER
State : NY
Zip : 10709-5506
Country : US
Telephone Number : 914-793-6130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2015
Last Update Date : 04/24/2015

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Directions to “ NINA LUCY PASSERO M.A., CFY-SLP, TSSLD” Practice Location

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