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NPI Code Detail

MEDICARE: CAPITAL AREA SPEECH CENTER

MEDICARE: CAPITAL AREA SPEECH CENTER
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
1261QH0700XHearing and Speech Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124130463
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAPITAL AREA SPEECH CENTER
Provider Business Mailing Address
First Line : 339 BROADWAY
Second Line :
City : MENANDS
State : NY
Zip : 12204-2708
Country : US
Telephone Number : 518-462-6222
Fax Number : 518-462-6003
Provider Business Practice Location Address
First Line : 339 BROADWAY
Second Line :
City : MENANDS
State : NY
Zip : 12204-2708
Country : US
Telephone Number : 518-462-6222
Fax Number : 518-462-6003
Authorized Official
Title or Position : EXTENSION
Name : MR. EDWARD B CORCORAN
Credential :
Telephone Number : 518-462-6222
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/22/2020

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Directions to “CAPITAL AREA SPEECH CENTER ” Practice Location

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