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NPI Code Detail

MEDICARE: KAITLIN STAIKOS MHC-LP

MEDICARE: KAITLIN STAIKOS MHC-LP
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 CounselorP130903NY

General Provider Information

NPI Number : 1841027950
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN STAIKOS MHC-LP
Provider Business Mailing Address
First Line : 303 5TH AVE RM 1909
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6658
Country : US
Telephone Number : 212-545-9901
Fax Number :
Provider Business Practice Location Address
First Line : 303 5TH AVE RM 1909
Second Line :
City : NEW YORK
State : NY
Zip : 10016-6658
Country : US
Telephone Number : 212-545-9901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2024
Last Update Date : 09/14/2024

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Directions to “ KAITLIN STAIKOS MHC-LP” Practice Location

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