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NPI Code Detail

MEDICARE: SARAH A SANTILLO CCC-SLP

MEDICARE: SARAH A SANTILLO 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 Pathologist022928NY

General Provider Information

NPI Number : 1275974057
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH A SANTILLO CCC-SLP
Provider Business Mailing Address
First Line : 439 W MAPLE AVE
Second Line :
City : NEWARK
State : NY
Zip : 14513-2062
Country : US
Telephone Number : 315-332-3328
Fax Number :
Provider Business Practice Location Address
First Line : 439 W MAPLE AVE
Second Line :
City : NEWARK
State : NY
Zip : 14513-2062
Country : US
Telephone Number : 315-332-3328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2013
Last Update Date : 07/09/2013

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Directions to “ SARAH A SANTILLO CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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