Basic Information
| Provider Information | |||||||||
| NPI: | 1073917779 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TREFFILETTI | ||||||||
| FirstName: | KASEY | ||||||||
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| Credential: | M.S. ED | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29 ARNOLD RD | ||||||||
| Address2: | |||||||||
| City: | MALTA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 120204220 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 2 COUNTRY CLUB RD | ||||||||
| Address2: | |||||||||
| City: | QUEENSBURY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 128041702 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5189262000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/09/2014 | ||||||||
| LastUpdateDate: | 05/30/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 888181141 | NY | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.