Individual
MS. CARLY L REPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
100 SARATOGA VILLAGE BLVD, SUITE 35, MALTA, NY 12020-3737
(518) 899-9235
(518) 899-9315
Mailing address
100 SARATOGA VILLAGE BLVD, SUITE 35, MALTA, NY 12020-3737
(518) 899-9235
(518) 899-9315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013464-1
NY
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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