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NPI Code Detail

MEDICARE: MS. MARY ROSE SAPONE M.S., CCC-SLP

MEDICARE: MS. MARY ROSE SAPONE 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 Pathologist015511-1NY

General Provider Information

NPI Number : 1477702033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ROSE SAPONE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 41 COLEBROOK DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-2211
Country : US
Telephone Number : 585-467-4567
Fax Number : 585-467-6973
Provider Business Practice Location Address
First Line : 41 COLEBROOK DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-2211
Country : US
Telephone Number : 585-467-4567
Fax Number : 585-467-6973
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2008
Last Update Date : 09/18/2008

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Directions to “ MS. MARY ROSE SAPONE M.S., CCC-SLP” Practice Location

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