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NPI Code Detail

MEDICARE: KIMBERLY ASENCIO CCC

MEDICARE: KIMBERLY ASENCIO 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 Pathologist036691NY

General Provider Information

NPI Number : 1538098090
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ASENCIO CCC
Provider Business Mailing Address
First Line : 11 DEERWOOD DR
Second Line :
City : HOPEWELL JUNCTION
State : NY
Zip : 12533-6436
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 228 WARD ST
Second Line :
City : MONTGOMERY
State : NY
Zip : 12549-1270
Country : US
Telephone Number : 845-293-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2026
Last Update Date : 06/05/2026

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Directions to “ KIMBERLY ASENCIO CCC” 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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