MEDICARE: MRS. ANTONIA ANDRADES SCHROEDER MS,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
1	235Z00000X	Speech-Language Pathologist	008526	NY

General Provider Information

NPI Number	:	1871952531
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANTONIA ANDRADES SCHROEDER MS,CCC,SLP

Provider Business Mailing Address
First Line	:	400 2ND AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-4010
Country	:	US
Telephone Number	:	212-689-8719
Fax Number	:

Provider Business Practice Location Address
First Line	:	425 E 25TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10010-2547
Country	:	US
Telephone Number	:	212-481-4464
Fax Number	:

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

Provider Enumeration Date	:	02/23/2016
Last Update Date	:	02/23/2016

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Directions to “ MRS. ANTONIA ANDRADES SCHROEDER MS,CCC,SLP” Practice Location

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