MEDICARE: DR. MARIA YANINA JURE PHD,CCC,SLP,TSLD BIL

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	015681	NY

General Provider Information

NPI Number	:	1306082946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIA YANINA JURE PHD,CCC,SLP,TSLD BIL

Provider Business Mailing Address
First Line	:	616 FENWORTH BLVD
Second Line	:
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-3544
Country	:	US
Telephone Number	:	718-908-1225
Fax Number	:

Provider Business Practice Location Address
First Line	:	52 CHAMBERS ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10007-1222
Country	:	US
Telephone Number	:	212-374-0800
Fax Number	:

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

Provider Enumeration Date	:	01/04/2009
Last Update Date	:	08/31/2022

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