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NPI Code Detail

MEDICARE: MRS. JENNIFER DILEO M.S., CCC-SLP

MEDICARE: MRS. JENNIFER DILEO M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist020451NY

General Provider Information

NPI Number : 1083903868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER DILEO M.S., CCC-SLP
Provider Business Mailing Address
First Line : 71 ROUGE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-4125
Country : US
Telephone Number : 585-617-2300
Fax Number :
Provider Business Practice Location Address
First Line : 160 WALLACE WAY BLDG 9
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-6215
Country : US
Telephone Number : 585-617-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2011
Last Update Date : 01/30/2020

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Directions to “ MRS. JENNIFER DILEO M.S., CCC-SLP” Practice Location

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