Individual
BLANCHE KANIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP/TSHH
Contact information
Practice address
62-63 60 AVE, MASPETH, NY 11378
(718) 578-8356
Mailing address
62-63 60 AVE, MASPETH, NY 11378
(718) 578-8356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005352-1
NY
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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