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NPI Code Detail

MEDICARE: JANELLE M ANNECHINO MS, CCC-SLP

MEDICARE: JANELLE M ANNECHINO MS, 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 Pathologist016123-1NY

General Provider Information

NPI Number : 1184870214
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANELLE M ANNECHINO MS, CCC-SLP
Provider Business Mailing Address
First Line : 2 TURNING LEAF LN
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-2292
Country : US
Telephone Number : 585-278-3242
Fax Number :
Provider Business Practice Location Address
First Line : 131 W BROAD ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14614-1103
Country : US
Telephone Number : 585-262-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2008
Last Update Date : 07/02/2020

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