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NPI Code Detail

MEDICARE: SUZANNE RUSKA MS/CCC/SLP

MEDICARE: SUZANNE RUSKA MS/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 Pathologist002489-1NY

General Provider Information

NPI Number : 1588972236
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE RUSKA MS/CCC/SLP
Provider Business Mailing Address
First Line : 3233 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1323
Country : US
Telephone Number : 716-833-5353
Fax Number : 716-833-0108
Provider Business Practice Location Address
First Line : 3233 MAIN ST
Second Line :
City : BUFFALO
State : NY
Zip : 14214-1323
Country : US
Telephone Number : 716-833-5353
Fax Number : 716-833-0108
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2010
Last Update Date : 09/15/2010

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Directions to “ SUZANNE RUSKA MS/CCC/SLP” Practice Location

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