MEDICARE: MS. NICOLE CONSTANCE APOSTOLOU M.S. 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	023006-1	NY

General Provider Information

NPI Number	:	1750651949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NICOLE CONSTANCE APOSTOLOU M.S. SLP

Provider Business Mailing Address
First Line	:	230 81ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-3806
Country	:	US
Telephone Number	:	917-745-0164
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 BEAVER ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-4504
Country	:	US
Telephone Number	:	718-443-9402
Fax Number	:

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

Provider Enumeration Date	:	01/05/2012
Last Update Date	:	09/06/2013

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