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NPI Code Detail

MEDICARE: BIG APPLE PROCARE SLP, PC

MEDICARE: BIG APPLE PROCARE SLP, PC
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 Pathologist016710NY

General Provider Information

NPI Number : 1962616136
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIG APPLE PROCARE SLP, PC
Provider Business Mailing Address
First Line : 3205 EMMONS AVE
Second Line : SUITE 7B
City : BROOKLYN
State : NY
Zip : 11235-1147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1809 GRAVESEND NECK RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4510
Country : US
Telephone Number : 718-743-7090
Fax Number :
Authorized Official
Title or Position : SPEECH-LANGUAGE PATHOLOGIST
Name : SVETLANA BELOPOLSKY
Credential :
Telephone Number : 718-743-7090
Provider Enumeration Date : 05/09/2007
Last Update Date : 08/22/2020

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Directions to “BIG APPLE PROCARE SLP, PC ” Practice Location

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