MEDICARE: BGS SPEECH LANGUAGE PATHOLOGIST, P.C,

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	016516	NY

General Provider Information

NPI Number	:	1629443981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BGS SPEECH LANGUAGE PATHOLOGIST, P.C,

Provider Business Mailing Address
First Line	:	1946 STUART ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2620
Country	:	US
Telephone Number	:	347-713-3514
Fax Number	:

Provider Business Practice Location Address
First Line	:	1946 STUART ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-2620
Country	:	US
Telephone Number	:	347-713-3514
Fax Number	:

Authorized Official
Title or Position	:	SPEECH PATHOLOGIST
Name	:	BONNIE STURMAN
Credential	:	SLP- M.S., CCC
Telephone Number	:	347-713-3514

Provider Enumeration Date	:	12/11/2015
Last Update Date	:	12/11/2015

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Directions to “BGS SPEECH LANGUAGE PATHOLOGIST, P.C, ” Practice Location

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