MEDICARE: AIDA JUNIK SLP PC

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	014187	NY

General Provider Information

NPI Number	:	1104065614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIDA JUNIK SLP PC

Provider Business Mailing Address
First Line	:	354 CROWN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3006
Country	:	US
Telephone Number	:	718-953-3197
Fax Number	:

Provider Business Practice Location Address
First Line	:	354 CROWN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-3006
Country	:	US
Telephone Number	:	718-953-3197
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	AIDA JUNIK
Credential	:	MS CCC-SLP
Telephone Number	:	718-953-3197

Provider Enumeration Date	:	02/07/2009
Last Update Date	:	02/07/2009

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Directions to “AIDA JUNIK SLP PC ” Practice Location

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