MEDICARE: MAKENZIE DODSKI 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
1	235Z00000X	Speech-Language Pathologist	032365	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1144938259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKENZIE DODSKI M.S, CCC-SLP

Provider Business Mailing Address
First Line	:	280 COLLINGWOOD DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14621-1017
Country	:	US
Telephone Number	:	315-806-7353
Fax Number	:

Provider Business Practice Location Address
First Line	:	280 COLLINGWOOD DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14621-1017
Country	:	US
Telephone Number	:	315-806-7353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2022
Last Update Date	:	01/29/2026

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Directions to “ MAKENZIE DODSKI M.S, CCC-SLP” Practice Location

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