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Kaylon Demendonca

NPI 1235708058 · on the registry since 2021 · sole proprietor

Practice

Address
13952 232nd St
Laurelton, NY 11413
Phone
(347) 922-0038
Clinicians at this address
2

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-06-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York