Fingerlakesspeech-Languagepatholog&Physicaltheropyservices,PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

008177 Issued in NY

Legal business name

FINGERLAKESSPEECH-LANGUAGEPATHOLOG&PHYSICALTHEROPYSERVICES,PLLC

Practice address

27 Tall Oaks Dr
Seneca Falls, NY 13148-1133

Phone

(315) 568-2570

Fax

(315) 568-2570

NPI assigned

Nov 19, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Virginia Ann DejohnNPI 1093968059

Title

President

Phone

(315) 568-2570

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia Dejohn, SLP

  • Speech-Language Pathologist
  • Seneca Falls, NY
  • NPI 1093968059
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258588800000",
    "number": "1386972958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TALL OAKS DR",
            "address_2": "P.O. BOX 477",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481133",
            "telephone_number": "315-568-2570",
            "fax_number": "315-568-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 TALL OAKS DR",
            "city": "SENECA FALLS",
            "state": "NY",
            "postal_code": "131481133",
            "telephone_number": "315-568-2570",
            "fax_number": "315-568-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINGERLAKESSPEECH-LANGUAGEPATHOLOG&PHYSICALTHEROPYSERVICES,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A",
        "authorized_official_last_name": "DEJOHN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-568-2570",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "008177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marnae Crystal Ergil, L.AC.
• Abbey Fargnoli, LCSW
• Steven Feldman, DC
• Frances Ann Ferrara, RN
• Finger Lakes Evaluation Group
• Nathaniel Fisher, D.C.
• FLH Medical, PC
• Grace Maria Freier, MD
• Evelyn Fuller, RDN, CDN
• Lisa Galle

• Early Intervention Provider Agency in Seneca Falls, NY
• Providers in Seneca Falls, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.