Organization
GORGE FALLS THERAPY SLP, OT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA TRACY SILVERNAIL MS, CCC-SLP (OWNER/SLP)
(607) 437-0141
Entity
Organization
Contact information
Practice address
225 S FULTON ST STE D, ITHACA, NY 14850-3344
(607) 437-0141
Mailing address
52 BENJAMIN HILL RD, NEWFIELD, NY 14867-9795
(607) 437-0141
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0165021
NY
Other
Enumeration date
07/18/2017
Last updated
11/29/2018
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