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NPI Code Detail

MEDICARE: JUSTINE CONKLIN

MEDICARE: JUSTINE CONKLIN
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 Pathologist

General Provider Information

NPI Number : 1811830821
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTINE CONKLIN
Provider Business Mailing Address
First Line : 13 JUDD PL
Second Line :
City : GOSHEN
State : NY
Zip : 10924-1707
Country : US
Telephone Number : 845-500-6097
Fax Number :
Provider Business Practice Location Address
First Line : 27 HOLT DR
Second Line :
City : STONY POINT
State : NY
Zip : 10980-1919
Country : US
Telephone Number : 845-827-6227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ JUSTINE CONKLIN ” Practice Location

Language Start Address Practice Location
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