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NPI Code Detail

MEDICARE: KAREN SUE JABLON MS, CCC/SLP

MEDICARE: KAREN SUE JABLON MS, 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 Pathologist002919-1NY

General Provider Information

NPI Number : 1134373939
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SUE JABLON MS, CCC/SLP
Provider Business Mailing Address
First Line : 2465 BATHGATE AVE
Second Line :
City : BRONX
State : NY
Zip : 10458-5928
Country : US
Telephone Number : 718-367-5917
Fax Number : 718-367-3363
Provider Business Practice Location Address
First Line : 2465 BATHGATE AVE
Second Line :
City : BRONX
State : NY
Zip : 10458-5928
Country : US
Telephone Number : 718-367-5917
Fax Number : 718-367-3363
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2008
Last Update Date : 11/06/2008

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