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Organization
KIDS COMMUNICATION GROUP SERVICES CORP
Active
Organization
KIDS COMMUNICATION GROUP SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA M LAZON EGUSQUIZA (SPEECH PATHOLOGIST)
(347) 806-4632
Entity
Organization
Contact information
Practice address
700 BELLEVUE AVE N, YONKERS, NY 10703-1102
(347) 806-4632
Mailing address
700 BELLEVUE AVE N, YONKERS, NY 10703-1102
(347) 806-4632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/16/2020
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