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NPI Code Detail

MEDICARE: MRS. LAURA J MRUGALSKI CCC-SLP, TSSLD, MA

MEDICARE: MRS. LAURA J MRUGALSKI CCC-SLP, TSSLD, MA
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 Pathologist017664-1NY

General Provider Information

NPI Number : 1841546181
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURA J MRUGALSKI CCC-SLP, TSSLD, MA
Provider Business Mailing Address
First Line : 164 TRENTON AVE
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10606-2014
Country : US
Telephone Number : 914-320-7214
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 : 914-949-1710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2012
Last Update Date : 07/24/2012

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Directions to “ MRS. LAURA J MRUGALSKI CCC-SLP, TSSLD, MA” Practice Location

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