MEDICARE: ESTHER HAYOUN-AZANCOT

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	023200	NY

General Provider Information

NPI Number	:	1093125544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ESTHER HAYOUN-AZANCOT

Provider Business Mailing Address
First Line	:	623 AVENUE T
Second Line	:	1ST FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4141
Country	:	US
Telephone Number	:	718-484-8697
Fax Number	:

Provider Business Practice Location Address
First Line	:	623 AVENUE T
Second Line	:	1ST FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11223-4141
Country	:	US
Telephone Number	:	718-484-8697
Fax Number	:

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

Provider Enumeration Date	:	05/06/2014
Last Update Date	:	03/14/2016

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Directions to “ ESTHER HAYOUN-AZANCOT ” Practice Location

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