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NPI Code Detail

MEDICARE: KANIA JAVIER

MEDICARE: KANIA JAVIER
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
1101YM0800XMental Health CounselorNY

General Provider Information

NPI Number : 1801412556
Entity Type Code : Individual
Provider Name (Legal Business Name) : KANIA JAVIER
Provider Business Mailing Address
First Line : 333 E MOSHOLU PKWY N APT 2A
Second Line :
City : BRONX
State : NY
Zip : 10467-4808
Country : US
Telephone Number : 347-993-6406
Fax Number :
Provider Business Practice Location Address
First Line : 579 COURTLANDT AVE
Second Line :
City : BRONX
State : NY
Zip : 10451-5013
Country : US
Telephone Number : 718-485-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2020
Last Update Date : 06/18/2020

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Directions to “ KANIA JAVIER ” Practice Location

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