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NPI Code Detail

MEDICARE: CYNTHIA VAN WIE

MEDICARE: CYNTHIA VAN WIE
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 Pathologist018539-1NY

General Provider Information

NPI Number : 1942596333
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA VAN WIE
Provider Business Mailing Address
First Line : 129 MAPLE AVE
Second Line :
City : VOORHEESVILLE
State : NY
Zip : 12186-9726
Country : US
Telephone Number : 518-765-2382
Fax Number :
Provider Business Practice Location Address
First Line : 129 MAPLE AVE
Second Line :
City : VOORHEESVILLE
State : NY
Zip : 12186-9726
Country : US
Telephone Number : 518-765-2382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2011
Last Update Date : 06/23/2011

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Directions to “ CYNTHIA VAN WIE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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