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NPI Code Detail

MEDICARE: MRS. LILLIAN ALEXANDRA ACKERMANN MA, CCC-SLP

MEDICARE: MRS. LILLIAN ALEXANDRA ACKERMANN MA, 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 Pathologist028330NY

General Provider Information

NPI Number : 1649997503
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LILLIAN ALEXANDRA ACKERMANN MA, CCC-SLP
Provider Business Mailing Address
First Line : 2 DEERINGWOOD LN
Second Line :
City : BABYLON
State : NY
Zip : 11702-4213
Country : US
Telephone Number : 631-374-4326
Fax Number :
Provider Business Practice Location Address
First Line : 3559 MERRICK RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-2833
Country : US
Telephone Number : 516-639-4021
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2022
Last Update Date : 10/21/2022

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Directions to “ MRS. LILLIAN ALEXANDRA ACKERMANN MA, CCC-SLP” Practice Location

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