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Organization

PRINCIPAL CARE, LLC

Active
Other names
Building Blocks
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE PULEO O'BRIEN MS, CCC-SLP (OWNER)
(315) 853-6090
Entity
Organization

Contact information

Practice address
19 ROBINSON RD, CLINTON, NY 13323-1418
(315) 853-6090
(315) 853-3190
Mailing address
19 ROBINSON RD, CLINTON, NY 13323-1418
(315) 853-6090
(315) 853-3190

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
NY

Other

Enumeration date
04/15/2015
Last updated
04/15/2015
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