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NPI Code Detail

MEDICARE: ELIZABETH J. BAIRD MACCC-SLP

MEDICARE:   ELIZABETH J. BAIRD  MACCC-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 Pathologist011147-1NY

General Provider Information

NPI Number : 1730467176
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH J. BAIRD MACCC-SLP
Provider Business Mailing Address
First Line : 68 FIELDSTONE DR
Second Line :
City : WILTON
State : NY
Zip : 12831-1715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 432 WESTERN AVE
Second Line :
City : ALBANY
State : NY
Zip : 12203-1400
Country : US
Telephone Number : 518-454-5263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2011
Last Update Date : 02/01/2017

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Directions to “ ELIZABETH J. BAIRD MACCC-SLP” Practice Location

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