NPI: 1235457052 · FORT WALTON BEACH, FL 32547 · Speech-Language Pathologist · NPI assigned 05/05/2010
| Authorized Official | NIX, MARY (CLINIC DIRECTOR) |
| NPI Enumeration Date | 05/05/2010 |
Other providers sharing the same authorized official: NIX, MARY
| Provider | City | State | Total Paid |
|---|---|---|---|
| HERITAGE NEW YORK MEDICAL PC | GARDEN CITY | NY | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 70 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92507 | 70 | 12 | $1K |