MEDICARE: MS. MARTA BRODSKI M.S., CCC-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
1	235Z00000X	Speech-Language Pathologist	2589790	NY

General Provider Information

NPI Number	:	1689093338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARTA BRODSKI M.S., CCC-SLP, TSSLD

Provider Business Mailing Address
First Line	:	3133 BRIGHTON 7TH ST APT 2G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6569
Country	:	US
Telephone Number	:	347-921-3250
Fax Number	:

Provider Business Practice Location Address
First Line	:	3133 BRIGHTON 7TH ST APT 2G
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6569
Country	:	US
Telephone Number	:	646-417-3816
Fax Number	:

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

Provider Enumeration Date	:	04/09/2014
Last Update Date	:	11/02/2022

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