MEDICARE: DALIA UMANSKIY 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	017412	NY

General Provider Information

NPI Number	:	1720264096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALIA UMANSKIY SLP

Provider Business Mailing Address
First Line	:	PO BOX 99
Second Line	:
City	:	STERLING FOREST
State	:	NY
Zip	:	10979-0099
Country	:	US
Telephone Number	:	646-229-8670
Fax Number	:

Provider Business Practice Location Address
First Line	:	2447 EASTCHESTER RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5915
Country	:	US
Telephone Number	:	718-882-2111
Fax Number	:

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

Provider Enumeration Date	:	01/16/2008
Last Update Date	:	11/16/2008

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Directions to “ DALIA UMANSKIY SLP” Practice Location

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