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NPI Code Detail

MEDICARE: MRS. HAYA SHENKER SLP/CCC

MEDICARE: MRS. HAYA SHENKER SLP/CCC
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 Pathologist013781-1NY

General Provider Information

NPI Number : 1346475274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HAYA SHENKER SLP/CCC
Provider Business Mailing Address
First Line : 3321 AVENUE M
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5421
Country : US
Telephone Number : 917-575-7577
Fax Number :
Provider Business Practice Location Address
First Line : 3321 AVENUE M
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-5421
Country : US
Telephone Number : 917-575-7577
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2009
Last Update Date : 07/10/2014

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