MEDICARE: JOANNE O'BEIRNE

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	007188-1	NY

General Provider Information

NPI Number	:	1932344140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNE O'BEIRNE

Provider Business Mailing Address
First Line	:	2316 BRUNER AVE.
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-1952
Country	:	US
Telephone Number	:	718-496-0136
Fax Number	:

Provider Business Practice Location Address
First Line	:	2316 BRUNER AVE.
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-1952
Country	:	US
Telephone Number	:	718-496-0136
Fax Number	:

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

Provider Enumeration Date	:	12/03/2008
Last Update Date	:	01/25/2013

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Directions to “ JOANNE O'BEIRNE ” Practice Location

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