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Organization

REHAB RESOURCES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH ISABEL M.S., CCC-SLP (DIRECTOR AND SPEECH PATHOLOGIST)
(518) 791-3896
Entity
Organization

Contact information

Practice address
114 WAWBEEK AVE, TUPPER LAKE, NY 12986-2038
(518) 359-3355
Mailing address
114 WAWBEEK AVE, TUPPER LAKE, NY 12986-2038
(518) 359-3355

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
022315
NY

Other

Enumeration date
04/08/2013
Last updated
04/08/2013
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