MEDICARE: MILESTONE MEADOW THERAPY SERVICES 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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1871445007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILESTONE MEADOW THERAPY SERVICES PLLC

Provider Business Mailing Address
First Line	:	38 HILLSIDE AVE
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1016
Country	:	US
Telephone Number	:	516-234-9131
Fax Number	:

Provider Business Practice Location Address
First Line	:	38 HILLSIDE AVE
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-1016
Country	:	US
Telephone Number	:	516-234-9131
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. DAVIDA FARNAM
Credential	:
Telephone Number	:	516-234-9131

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/12/2026

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Directions to “MILESTONE MEADOW THERAPY SERVICES PLLC ” Practice Location

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