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NPI Code Detail

MEDICARE: MS. RENEE CAMIELLE JEREMIAH SLP

MEDICARE: MS. RENEE CAMIELLE JEREMIAH 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 PathologistNY

General Provider Information

NPI Number : 1063932556
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RENEE CAMIELLE JEREMIAH SLP
Provider Business Mailing Address
First Line : 1302 REMSEN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11236-4220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 66TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-5914
Country : US
Telephone Number : 718-259-4389
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2017
Last Update Date : 06/26/2017

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Directions to “ MS. RENEE CAMIELLE JEREMIAH SLP” Practice Location

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