Organization
BRIGHT START PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN STOLT M.S., SLP/CCC (SLP, PARTNER)
(585) 377-2230
Entity
Organization
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
(585) 377-2243
Mailing address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
(585) 377-2243
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
015791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015791
LISCENCE NUMBER
NY
Enumeration date
07/31/2008
Last updated
07/31/2008
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