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NPI Code Detail

MEDICARE: MS. ROBERTA PERL

MEDICARE: MS. ROBERTA PERL
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 PathologistNY

General Provider Information

NPI Number : 1902173917
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROBERTA PERL
Provider Business Mailing Address
First Line : 999 PELHAM PKWY N
Second Line :
City : BRONX
State : NY
Zip : 10469-4905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 999 PELHAM PKWY N
Second Line :
City : BRONX
State : NY
Zip : 10469-4905
Country : US
Telephone Number : 718-519-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2011
Last Update Date : 06/25/2013

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Directions to “ MS. ROBERTA PERL ” Practice Location

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