MEDICARE: THE S&L STOP LLC

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

General Provider Information

NPI Number	:	1972326940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE S&L STOP LLC

Provider Business Mailing Address
First Line	:	2035 HOBART AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-3903
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2035 HOBART AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-3903
Country	:	US
Telephone Number	:	718-844-2628
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	EDANTRICE MENALDO
Credential	:
Telephone Number	:	646-895-7836

Provider Enumeration Date	:	11/06/2024
Last Update Date	:	11/06/2024

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Directions to “THE S&L STOP LLC ” Practice Location

Language	Start Address	Practice Location

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