MEDICARE: HILLARY VAN DE CARR HARPER A.B.D., 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	021978-1	NY

General Provider Information

NPI Number	:	1942564703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILLARY VAN DE CARR HARPER A.B.D., CCC-SLP

Provider Business Mailing Address
First Line	:	222 E 82ND ST
Second Line	:	APT 1A
City	:	NEW YORK
State	:	NY
Zip	:	10028-2742
Country	:	US
Telephone Number	:	803-943-6516
Fax Number	:

Provider Business Practice Location Address
First Line	:	251 E 77TH ST
Second Line	:	LL
City	:	NEW YORK
State	:	NY
Zip	:	10075-2045
Country	:	US
Telephone Number	:	212-288-1450
Fax Number	:

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

Provider Enumeration Date	:	06/26/2012
Last Update Date	:	06/26/2012

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