MEDICARE: TINY VOICES SLP PLLC

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	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1730879438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TINY VOICES SLP PLLC

Provider Business Mailing Address
First Line	:	155 CLEVELAND AVE
Second Line	:
City	:	MINEOLA
State	:	NY
Zip	:	11501-2502
Country	:	US
Telephone Number	:	516-902-0476
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 CLEVELAND AVE
Second Line	:
City	:	MINEOLA
State	:	NY
Zip	:	11501-2502
Country	:	US
Telephone Number	:	516-902-0476
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TIFFANY SILVA
Credential	:
Telephone Number	:	516-902-0476

Provider Enumeration Date	:	05/08/2023
Last Update Date	:	05/08/2023

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