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NPI Code Detail

MEDICARE: MS. ALISON M LEWIS MA CCC-SLP

MEDICARE:  MS. ALISON M LEWIS  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 Pathologist015161-1NY
2235Z00000XSpeech-Language Pathologist12040265NY

General Provider Information

NPI Number : 1679881288
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALISON M LEWIS MA CCC-SLP
Provider Business Mailing Address
First Line : 104 ASCAN AVE
Second Line :
City : FOREST HILLS
State : NY
Zip : 11375-6014
Country : US
Telephone Number : 917-232-5136
Fax Number :
Provider Business Practice Location Address
First Line : 2626 75TH ST
Second Line :
City : EAST ELMHURST
State : NY
Zip : 11370-1427
Country : US
Telephone Number : 718-330-3272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2010
Last Update Date : 09/16/2010

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Directions to “ MS. ALISON M LEWIS MA CCC-SLP” Practice Location

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