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NPI Code Detail

MEDICARE: MS. KRISTINE C DIGIAMBATTISTA SLP

MEDICARE: MS. KRISTINE C DIGIAMBATTISTA 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 Pathologist0179351NY

General Provider Information

NPI Number : 1861620445
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTINE C DIGIAMBATTISTA SLP
Provider Business Mailing Address
First Line : 240 HURSTBOURNE RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14609-5513
Country : US
Telephone Number : 585-746-5799
Fax Number :
Provider Business Practice Location Address
First Line : 750 MAIDEN LN
Second Line :
City : ROCHESTER
State : NY
Zip : 14615-1230
Country : US
Telephone Number : 585-966-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2009
Last Update Date : 06/13/2019

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