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NPI Code Detail

MEDICARE: ANGELA MCGLAUGHLIN

MEDICARE:   ANGELA  MCGLAUGHLIN
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
1225X00000XOccupational Therapist011344-1NY

General Provider Information

NPI Number : 1487883302
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MCGLAUGHLIN
Provider Business Mailing Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number : 315-218-7466
Provider Business Practice Location Address
First Line : 1951 CALEB AVE
Second Line :
City : SYRACUSE
State : NY
Zip : 13206-2560
Country : US
Telephone Number : 315-218-7444
Fax Number : 315-218-7466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2009
Last Update Date : 07/13/2009

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Directions to “ ANGELA MCGLAUGHLIN ” Practice Location

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