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Organization
JORGE ALBEIRO LONDONO LENIS
Active
Organization
JORGE ALBEIRO LONDONO LENIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE ALBEIRO LONDONO MS (SPEECH LANGUAGE PATHOLOGY)
(347) 755-7842
Entity
Organization
Contact information
Practice address
10420 QUEENS BLVD APT 12W, FOREST HILLS, NY 11375-3621
(347) 755-7842
Mailing address
10420 QUEENS BLVD APT 12W, FOREST HILLS, NY 11375-3621
(347) 755-7842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
019401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KBJ007L69516
BLUE CROSS
NY
Enumeration date
06/17/2012
Last updated
01/02/2013
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