MEDICARE: LENORE ZACH M.S., CF-SLP, TSSLD

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

General Provider Information

NPI Number	:	1831782804
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENORE ZACH M.S., CF-SLP, TSSLD

Provider Business Mailing Address
First Line	:	24 GABY LN
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10804-1602
Country	:	US
Telephone Number	:	914-600-8064
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 GABY LN
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10804-1602
Country	:	US
Telephone Number	:	914-600-8064
Fax Number	:

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

Provider Enumeration Date	:	02/19/2021
Last Update Date	:	02/19/2021

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