Provider Demographics
NPI:1427333442
Name:PYRYEMYBIDA, EMILY C (MSCCC-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:C
Last Name:PYRYEMYBIDA
Suffix:
Gender:F
Credentials:MSCCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 LOUGHBERRY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8584
Mailing Address - Country:US
Mailing Address - Phone:518-225-2076
Mailing Address - Fax:
Practice Address - Street 1:47 VAUGHN RD
Practice Address - Street 2:
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-1219
Practice Address - Country:US
Practice Address - Phone:518-747-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01409145Medicaid