MEDICARE: DALEXIS J PAEZ GARCIA

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		NY

General Provider Information

NPI Number	:	1407728405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DALEXIS J PAEZ GARCIA

Provider Business Mailing Address
First Line	:	1557 RADCLIFF AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-4012
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3365 CRUGER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-6826
Country	:	US
Telephone Number	:	718-379-2229
Fax Number	:

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

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	09/19/2025

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Directions to “ DALEXIS J PAEZ GARCIA ” Practice Location

Language	Start Address	Practice Location

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