Lifespan Speech And Swallowing Services | |
4820 W Taft Rd Ste 202, Liverpool, NY 13088 | |
(315) 552-0406 | |
(315) 634-6230 |
Full Name | Lifespan Speech And Swallowing Services |
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Type | Facility |
Speciality | Clinic/center - Multi-specialty |
Location | 4820 W Taft Rd Ste 202, Liverpool, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932798592 | NPI | - | NPPES |
06039550 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Steven Rossi |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1063664126 PECOS PAC ID: 8224182092 Enrollment ID: I20090812000784 |
Provider Name | Erin Elizabeth Reap |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1841628674 PECOS PAC ID: 6800262668 Enrollment ID: I20230216000736 |
Provider Name | Erika Wilsch |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1023838737 PECOS PAC ID: 0749713147 Enrollment ID: I20241023004004 |
Provider Name | Leah Stagnitta |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1518374685 PECOS PAC ID: 8022543834 Enrollment ID: I20241203000036 |
Mailing Address | Practice Location Address |
---|---|
Lifespan Speech And Swallowing Services 4820 W Taft Rd Ste 202, Liverpool, NY 13088-2806 Ph: (315) 552-0406 | Lifespan Speech And Swallowing Services 4820 W Taft Rd Ste 202, Liverpool, NY 13088 Ph: (315) 552-0406 |