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NPI Code Detail

MEDICARE: MRS. ALICIA L. COLON M.S. CCC-SLP

MEDICARE: MRS. ALICIA L. COLON 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 Pathologist015749-1NY

General Provider Information

NPI Number : 1871730762
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALICIA L. COLON M.S. CCC-SLP
Provider Business Mailing Address
First Line : 65 COURT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4916
Country : US
Telephone Number : 718-935-4000
Fax Number :
Provider Business Practice Location Address
First Line : 65 COURT ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4916
Country : US
Telephone Number : 718-935-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2009
Last Update Date : 09/01/2022

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Directions to “ MRS. ALICIA L. COLON M.S. CCC-SLP” Practice Location

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