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NPI Code Detail

MEDICARE: MRS. BRITTANY LYNN SPATARO M.S., CCC-SLP

MEDICARE: MRS. BRITTANY LYNN SPATARO 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 Pathologist020359NY

General Provider Information

NPI Number : 1811280092
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTANY LYNN SPATARO M.S., CCC-SLP
Provider Business Mailing Address
First Line : 2524 PARSONS BLVD
Second Line : FL 1
City : FLUSHING
State : NY
Zip : 11354-1262
Country : US
Telephone Number : 518-207-7087
Fax Number :
Provider Business Practice Location Address
First Line : 555 KNOLLWOOD RD
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10603-1928
Country : US
Telephone Number : 914-949-7310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2011
Last Update Date : 05/23/2011

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