MEDICARE: MRS. ADINA E SCHRECK KNOPFLER M.S. 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
1	235Z00000X	Speech-Language Pathologist	014859-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	014859-1	OTHER	NY	LICENSE#

General Provider Information

NPI Number	:	1649362229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ADINA E SCHRECK KNOPFLER M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1027 E 32ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1027 E 32ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-4130
Country	:	US
Telephone Number	:	917-865-4384
Fax Number	:

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

Provider Enumeration Date	:	09/29/2006
Last Update Date	:	11/15/2013

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Directions to “ MRS. ADINA E SCHRECK KNOPFLER M.S. CCC-SLP” Practice Location

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