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NPI Code Detail

MEDICARE: MRS. DIANE LEAH KIAI MS, CCC-SLP

MEDICARE: MRS. DIANE LEAH KIAI 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 Pathologist018574NY

General Provider Information

NPI Number : 1083858385
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANE LEAH KIAI MS, CCC-SLP
Provider Business Mailing Address
First Line : 67-17 FRESH MEADOW LANE
Second Line :
City : FRESH MEADOWS
State : NY
Zip : 11365-3418
Country : US
Telephone Number : 718-939-1530
Fax Number :
Provider Business Practice Location Address
First Line : 1133 WESTCHESTER AVE STE N-230
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10604-3522
Country : US
Telephone Number : 212-564-2350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2009
Last Update Date : 09/01/2022

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Directions to “ MRS. DIANE LEAH KIAI MS, CCC-SLP” Practice Location

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