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NPI Code Detail

MEDICARE: MS. ELIZABETH SYMEONIDES M.A., CCC-SLP

MEDICARE: MS. ELIZABETH SYMEONIDES M.A., 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
1235Z00000XSpeech-Language Pathologist010674-1NY

General Provider Information

NPI Number : 1952555443
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELIZABETH SYMEONIDES M.A., CCC-SLP
Provider Business Mailing Address
First Line : 10817 47TH AVE
Second Line :
City : CORONA
State : NY
Zip : 11368-2930
Country : US
Telephone Number : 347-200-0671
Fax Number :
Provider Business Practice Location Address
First Line : 3711 35TH AVE
Second Line : SUITE 3C
City : ASTORIA
State : NY
Zip : 11101-1441
Country : US
Telephone Number : 718-706-7500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2008
Last Update Date : 11/04/2009

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