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NPI Code Detail

MEDICARE: MRS. KERYN LARYSSA HING-AVERY

MEDICARE: MRS. KERYN LARYSSA HING-AVERY
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
12355S0801XSpeech-Language Assistant

General Provider Information

NPI Number : 1679881544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KERYN LARYSSA HING-AVERY
Provider Business Mailing Address
First Line : 15 HAMLET RD
Second Line :
City : LEVITTOWN
State : NY
Zip : 11756-4116
Country : US
Telephone Number : 516-731-0701
Fax Number :
Provider Business Practice Location Address
First Line : 2626 75TH ST
Second Line :
City : EAST ELMHURST
State : NY
Zip : 11370-1427
Country : US
Telephone Number : 718-899-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2010
Last Update Date : 09/14/2010

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Directions to “ MRS. KERYN LARYSSA HING-AVERY ” Practice Location

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