MEDICARE: DARCY MARIE ABRAMS 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	022645-1	NY

General Provider Information

NPI Number	:	1942647763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARCY MARIE ABRAMS MS CCC-SLP

Provider Business Mailing Address
First Line	:	1462 1ST AVE
Second Line	:	APT 4W
City	:	NEW YORK
State	:	NY
Zip	:	10075-2244
Country	:	US
Telephone Number	:	315-272-6902
Fax Number	:

Provider Business Practice Location Address
First Line	:	1462 1ST AVE
Second Line	:	APT 4W
City	:	NEW YORK
State	:	NY
Zip	:	10075-2244
Country	:	US
Telephone Number	:	315-272-6902
Fax Number	:

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

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	06/03/2013

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