Individual
CARLY JANE MAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1000 ELMWOOD AVENUE SUITE 100, ROCHESTER, NY 14620
(585) 271-0761
Mailing address
3722 DEER MEADOW RUN, MACEDON, NY 14502
(585) 683-5464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
031522-01
NY
Other
Enumeration date
01/13/2022
Last updated
04/10/2023
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