Provider Demographics
NPI:1326192097
Name:BEDORE, CARA ANN (AUD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:ANN
Last Name:BEDORE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-1552
Mailing Address - Country:US
Mailing Address - Phone:518-798-4800
Mailing Address - Fax:518-798-4900
Practice Address - Street 1:414 MAPLE AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5550
Practice Address - Country:US
Practice Address - Phone:518-584-0578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001600231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDD0243Medicare ID - Type UnspecifiedMEDICARE #