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Contact Information

TRACI J NIEDZIELSKI
199 DUNDERBERG RD
CENTRAL VALLEY, NY10917-3507
 Phone: 845-460-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for TRACI J NIEDZIELSKI · (Female)

NPI # 1700163425
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2011
Last updated 11/09/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 6558138
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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