Active NPI
Clare Maliwacki
- Speech-Language Pathologist
- Liverpool, NY
National Provider Identifier
1982849485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 018302-1
- Practice address
- 4064 Elaine Cir
Liverpool, NY 13090-1510 - Phone
- (315) 725-1202
- NPI assigned
- Dec 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 018302-1 | NY | Primary |
Addresses
Primary practice location
4064 Elaine Cir
Liverpool, NY 13090-1510
Mailing address
1951 Caleb Ave
Syracuse, NY 13206-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018302-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1982849485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1951 CALEB AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132062560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4064 ELAINE CIR",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130901510",
"telephone_number": "315-725-1202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALIWACKI",
"first_name": "CLARE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018302-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liverpool, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.