MEDICARE: MRS. ZHANNA VOLKIN 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	010151-1	NY

General Provider Information

NPI Number	:	1689818759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ZHANNA VOLKIN M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	3020 AVENUE Y
Second Line	:	APT.# 1B
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1452
Country	:	US
Telephone Number	:	718-743-6695
Fax Number	:

Provider Business Practice Location Address
First Line	:	3020 AVENUE Y
Second Line	:	APT.# 1B
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1452
Country	:	US
Telephone Number	:	718-743-6695
Fax Number	:

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

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	04/20/2009

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Directions to “ MRS. ZHANNA VOLKIN M.S., CCC-SLP” Practice Location

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