Marc Kucharik, M.S. Ed. CCC-SLP
Speech-Language Pathologist, in Albany, NY. Individual provider (NPI-1).
NPI number1114474285
StatusActive
Last updated in NPPESMar 31, 2018
Details
- NPI
- 1114474285
- Entity type
- Individual (NPI-1)
- Name
- Marc Kucharik
- Credential
- M.S. Ed. CCC-SLP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2016
- Last updated
- Mar 31, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 026939-1 | NY | Yes |
Practice location
314 S Manning BlvdAlbany, NY 12208-1708
Phone 518-437-3700
Mailing address
314 S Manning BlvdAlbany, NY 12208-1708
Phone 518-437-3700
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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