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NPI Code Detail

MEDICARE: KRISTEN TRUBISZ

MEDICARE: KRISTEN TRUBISZ
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 Pathologist018055-1NY

General Provider Information

NPI Number : 1952621658
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN TRUBISZ
Provider Business Mailing Address
First Line : PO BOX 367
Second Line :
City : STAATSBURG
State : NY
Zip : 12580-0367
Country : US
Telephone Number : 845-889-9597
Fax Number : 845-889-8206
Provider Business Practice Location Address
First Line : 4885 ROUTE 9
Second Line :
City : STAATSBURG
State : NY
Zip : 12580-6028
Country : US
Telephone Number : 845-889-9597
Fax Number : 845-889-8206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2010
Last Update Date : 07/29/2014

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Directions to “ KRISTEN TRUBISZ ” Practice Location

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