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NPI Code Detail

MEDICARE: MRS. SUSAN MARIA BARITOT SLP

MEDICARE:  MRS. SUSAN MARIA BARITOT  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 Pathologist013139NY

General Provider Information

NPI Number : 1942599105
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN MARIA BARITOT SLP
Provider Business Mailing Address
First Line : 131 W BROAD ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14614-1103
Country : US
Telephone Number : 585-262-8740
Fax Number :
Provider Business Practice Location Address
First Line : 690 SAINT PAUL ST
Second Line :
City : ROCHESTER
State : NY
Zip : 14605-1709
Country : US
Telephone Number : 585-262-8474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2011
Last Update Date : 03/28/2011

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Directions to “ MRS. SUSAN MARIA BARITOT SLP” Practice Location

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