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NPI Code Detail

MEDICARE: KAYLA CYNAMON PTPC

MEDICARE: KAYLA CYNAMON PTPC
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
1208100000XPhysical Medicine & Rehabilitation Physician013856NY

General Provider Information

NPI Number : 1528242096
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAYLA CYNAMON PTPC
Provider Business Mailing Address
First Line : 1344 E 34TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11210-4820
Country : US
Telephone Number : 718-336-4440
Fax Number : 718-336-4411
Provider Business Practice Location Address
First Line : 1894 HARING ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3210
Country : US
Telephone Number : 718-336-4440
Fax Number : 718-336-4411
Authorized Official
Title or Position : OWNER
Name : KAYLA C CYNAMON
Credential : P.T.
Telephone Number : 718-336-4440
Provider Enumeration Date : 12/19/2007
Last Update Date : 09/07/2022

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