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NPI Code Detail

MEDICARE: KAYLEE ALEXANDRA HERNANDEZ SANTIAGO MS SLP

MEDICARE: KAYLEE ALEXANDRA HERNANDEZ SANTIAGO MS 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1134988470
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEE ALEXANDRA HERNANDEZ SANTIAGO MS SLP
Provider Business Mailing Address
First Line : 5510 13TH AVE # APA2A
Second Line :
City : BROOKLYN
State : NY
Zip : 11219-4580
Country : US
Telephone Number : 787-415-5406
Fax Number :
Provider Business Practice Location Address
First Line : 44 COURT ST STE 1217
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4410
Country : US
Telephone Number : 347-479-1868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 03/18/2024

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Directions to “ KAYLEE ALEXANDRA HERNANDEZ SANTIAGO MS SLP” Practice Location

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