Individual
CHAYA MIRIAM KROEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5616 17TH AVE, BROOKLYN, NY 11204-1834
(718) 687-8662
Mailing address
5616 17TH AVE, BROOKLYN, NY 11204-1834
(718) 687-8662
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689122046
—
NY
Enumeration date
09/14/2016
Last updated
03/15/2019
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