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NPI Code Detail

MEDICARE: MILA KELMENSON M.S., CCC-SLP

MEDICARE: MILA KELMENSON 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
1235Z00000XSpeech-Language Pathologist018788NY

General Provider Information

NPI Number : 1699917666
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILA KELMENSON M.S., CCC-SLP
Provider Business Mailing Address
First Line : 149 MARINE AVE APT 4D
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-7728
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 371 89TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-5603
Country : US
Telephone Number : 718-491-7660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2009
Last Update Date : 02/03/2020

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Directions to “ MILA KELMENSON M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
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