MEDICARE: RIFKA FELDMAUS

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	023145-1	OTHER	NY	LICENSE#

General Provider Information

NPI Number	:	1902153208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIFKA FELDMAUS

Provider Business Mailing Address
First Line	:	1151 E 10TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4705
Country	:	US
Telephone Number	:	347-244-5730
Fax Number	:

Provider Business Practice Location Address
First Line	:	1151 E 10TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-4705
Country	:	US
Telephone Number	:	347-244-5730
Fax Number	:

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

Provider Enumeration Date	:	08/06/2012
Last Update Date	:	11/26/2013

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Directions to “ RIFKA FELDMAUS ” Practice Location

Language	Start Address	Practice Location

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