Healthcare Provider Details

I. General information

NPI: 1487530846
Provider Name (Legal Business Name): MAKAELA RICE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 FREMONT RD
EAST SYRACUSE NY
13057-9455
US

IV. Provider business mailing address

317 GRANT BLVD
SYRACUSE NY
13206-2602
US

V. Phone/Fax

Practice location:
  • Phone: 315-434-3300
  • Fax:
Mailing address:
  • Phone: 207-653-2098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: