Provider Demographics
NPI:1164547444
Name:SYNAKOWSKI, MELANIE CONNORS (MS)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:CONNORS
Last Name:SYNAKOWSKI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 REED PKWY
Mailing Address - Street 2:
Mailing Address - City:MARCELLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13108-1133
Mailing Address - Country:US
Mailing Address - Phone:315-673-2188
Mailing Address - Fax:315-673-2188
Practice Address - Street 1:13 REED PKWY
Practice Address - Street 2:
Practice Address - City:MARCELLUS
Practice Address - State:NY
Practice Address - Zip Code:13108-1133
Practice Address - Country:US
Practice Address - Phone:315-673-2188
Practice Address - Fax:315-673-2188
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005293-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist