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NPI Code Detail

MEDICARE: MS. LAUREEN ROSE SCIANIMANICO M.S., CCC-SLP

MEDICARE: MS. LAUREEN ROSE SCIANIMANICO 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 Pathologist

General Provider Information

NPI Number : 1992376578
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREEN ROSE SCIANIMANICO M.S., CCC-SLP
Provider Business Mailing Address
First Line : 8 ROSELL CT
Second Line :
City : LAGRANGEVILLE
State : NY
Zip : 12540-6127
Country : US
Telephone Number : 845-826-3205
Fax Number :
Provider Business Practice Location Address
First Line : 3374 FRANKLIN AVE
Second Line :
City : MILLBROOK
State : NY
Zip : 12545-5969
Country : US
Telephone Number : 845-677-3251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2021
Last Update Date : 07/06/2021

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Directions to “ MS. LAUREEN ROSE SCIANIMANICO M.S., CCC-SLP” Practice Location

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