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NPI Code Detail

MEDICARE: JESSICA CORDATOS

MEDICARE: JESSICA CORDATOS
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 Pathologist

General Provider Information

NPI Number : 1316809072
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA CORDATOS
Provider Business Mailing Address
First Line : 246 5TH ST APT 2
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-2404
Country : US
Telephone Number : 860-918-7322
Fax Number :
Provider Business Practice Location Address
First Line : 158 NEWARK AVE
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07302-2812
Country : US
Telephone Number : 210-324-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ JESSICA CORDATOS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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