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NPI Code Detail

MEDICARE: MRS. DORA AMINOV SLP-CFY

MEDICARE:  MRS. DORA  AMINOV  SLP-CFY
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 Pathologist

General Provider Information

NPI Number : 1417206525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DORA AMINOV SLP-CFY
Provider Business Mailing Address
First Line : 805 KENT AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-1581
Country : US
Telephone Number : 718-473-3808
Fax Number :
Provider Business Practice Location Address
First Line : 805 KENT AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11205-1581
Country : US
Telephone Number : 718-473-3808
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2012
Last Update Date : 11/29/2012

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Directions to “ MRS. DORA AMINOV SLP-CFY” Practice Location

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