Individual provider · Type 1 NPI
Vicki Servello, SPECIAL EDUCATION
Specialist · Syracuse, NY
NPI number
1962829291
Active
Practice location
171 Intrepid Ln
Syracuse, NY 13205-2548
Fax (315) 437-4690
Mailing address
2472 Candlewick Ln
Marcellus, NY 13108-1044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 534966941 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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- Amy Diel, MSSpecialist Syracuse, NY NPI 1679837652
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About NPI 1962829291
Vicki Servello, SPECIAL EDUCATION's National Provider Identifier is 1962829291, issued on Mar 25, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Syracuse, NY. The record was last updated on Mar 25, 2014.