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Organization
SYRACUSE UNIVERSITY
Active
Organization
SYRACUSE UNIVERSITY
Active
Other names
Syracuse University Gebbie Speech Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PELLEGRINO AUD (DIRECTOR, GEBBIE HEARING CLINIC)
(315) 443-2352
Entity
Organization
Contact information
Practice address
621 SKYTOP RD, SUITE 1200, SYRACUSE, NY 13244-5290
(315) 443-4485
(315) 443-4413
Mailing address
621 SKYTOP RD, SUITE 1200, SYRACUSE, NY 13244-5290
(315) 443-4485
(315) 443-4413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0T007
BILLING NUMBER - BCBS
NY
Enumeration date
01/17/2007
Last updated
08/06/2013
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