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NPI Code Detail

MEDICARE: MRS. BETHANY F HARDESTY

MEDICARE:  MRS. BETHANY F HARDESTY
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 Pathologist014752-1NY

General Provider Information

NPI Number : 1144286295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BETHANY F HARDESTY
Provider Business Mailing Address
First Line : 1000 ELMWOOD AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-3042
Country : US
Telephone Number : 585-271-0680
Fax Number :
Provider Business Practice Location Address
First Line : 225 WEST AVE
Second Line :
City : HILTON
State : NY
Zip : 14468-1253
Country : US
Telephone Number : 585-392-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 10/20/2020

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Directions to “ MRS. BETHANY F HARDESTY ” Practice Location

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