Individual
CAROL POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 MEDBURY RD, PORTER CORNERS, NY 12859-1908
(518) 893-2801
Mailing address
160 MEDBURY RD, PORTER CORNERS, NY 12859-1908
(518) 893-2801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01525-1
NY
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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