MEDICARE: TARA BELFI HOFMAYER 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	58014532	NY

General Provider Information

NPI Number	:	1982898953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARA BELFI HOFMAYER SLP

Provider Business Mailing Address
First Line	:	4 MABEL PL
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-2635
Country	:	US
Telephone Number	:	516-705-4227
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 E BETHPAGE RD
Second Line	:
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-4228
Country	:	US
Telephone Number	:	516-731-5588
Fax Number	:

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

Provider Enumeration Date	:	08/31/2007
Last Update Date	:	08/31/2007

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Directions to “ TARA BELFI HOFMAYER SLP” Practice Location

Language	Start Address	Practice Location

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