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NPI Code Detail

MEDICARE: DR. KATE SPEKTOR AUD, CCC-A

MEDICARE:  DR. KATE  SPEKTOR  AUD, CCC-A
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
1231H00000XAudiologist002007NY

General Provider Information

NPI Number : 1740205160
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATE SPEKTOR AUD, CCC-A
Provider Business Mailing Address
First Line : 1379 EAST 69 STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11234
Country : US
Telephone Number : 718-684-8865
Fax Number :
Provider Business Practice Location Address
First Line : 1173 FOREST AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-2408
Country : US
Telephone Number : 718-981-6020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 02/10/2022

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Directions to “ DR. KATE SPEKTOR AUD, CCC-A” Practice Location

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