| Diversified Services, Llc | |
|
2900 Delaware Ave, Kenmore, NY 14217-2309 | |
| (716) 871-9883 | |
| (716) 871-9887 |
| Full Name | Diversified Services, Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 2900 Delaware Ave, Kenmore, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447283882 | NPI | - | NPPES |
| 02671290 | Medicaid | NY | |
| 02700365 | Medicaid | NY | |
| 02690875 | Medicaid | NY | |
| 01806404 | Medicaid | NY | |
| 02690884 | Medicaid | NY | |
| 02667421 | Medicaid | NY |
| Provider Name | Marc L Wilcox |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1205855145 PECOS PAC ID: 1759377344 Enrollment ID: I20040421000149 |
| Provider Name | Barbara Klatt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1720081235 PECOS PAC ID: 7113902156 Enrollment ID: I20040629000606 |
| Provider Name | Janice Sinibaldi |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659381598 PECOS PAC ID: 9234114547 Enrollment ID: I20040827000009 |
| Provider Name | Carrie D Cline |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1003873365 PECOS PAC ID: 8123096294 Enrollment ID: I20040917000410 |
| Provider Name | Salvatore A Gruttadauria |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336178821 PECOS PAC ID: 2163462466 Enrollment ID: I20050505000914 |
| Provider Name | Mary B Malachowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164548699 PECOS PAC ID: 4789698325 Enrollment ID: I20060203000400 |
| Provider Name | Dani Lyn M Parr |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346391786 PECOS PAC ID: 0840204483 Enrollment ID: I20060203000409 |
| Provider Name | Angela M Minniefield |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1083649131 PECOS PAC ID: 8527162585 Enrollment ID: I20070330000332 |
| Provider Name | Jo Ann Yager |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538237417 PECOS PAC ID: 6800995028 Enrollment ID: I20070628000133 |
| Provider Name | Adam A Wojnowski |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043354053 PECOS PAC ID: 6406948660 Enrollment ID: I20070817000628 |
| Provider Name | Christine T Schultz Knox |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073791109 PECOS PAC ID: 4880779495 Enrollment ID: I20080306000527 |
| Provider Name | Andrea N Baker Kuta |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1184877268 PECOS PAC ID: 8729149182 Enrollment ID: I20081204000463 |
| Provider Name | Kelli L Loss |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609943919 PECOS PAC ID: 4082775473 Enrollment ID: I20090706000227 |
| Provider Name | Susan E Berg |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730201963 PECOS PAC ID: 9830242395 Enrollment ID: I20090730000399 |
| Provider Name | Susan T Roberts |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1417933532 PECOS PAC ID: 0244206829 Enrollment ID: I20090803000075 |
| Provider Name | Lindsay Pellegrino |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417121351 PECOS PAC ID: 9234283722 Enrollment ID: I20090818000661 |
| Provider Name | Brian Sawka |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669702601 PECOS PAC ID: 1658415807 Enrollment ID: I20100225000599 |
| Provider Name | Jessica L Gravius |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1508141714 PECOS PAC ID: 0941475826 Enrollment ID: I20111205000025 |
| Provider Name | Jessica J Oppee |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396099867 PECOS PAC ID: 8325285828 Enrollment ID: I20130430000323 |
| Provider Name | Lisa A Laspisa-mcmorrow |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689995417 PECOS PAC ID: 8022339282 Enrollment ID: I20150601000875 |
| Provider Name | Rachel E Epstein |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225417579 PECOS PAC ID: 9739493826 Enrollment ID: I20150803002130 |
| Provider Name | Delaney A Grieco |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922347103 PECOS PAC ID: 9537473269 Enrollment ID: I20150807015005 |
| Provider Name | Daniel J Cartwright |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1063960003 PECOS PAC ID: 5193004406 Enrollment ID: I20161109000716 |
| Provider Name | Kathleen A Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336598044 PECOS PAC ID: 0749565141 Enrollment ID: I20170328000195 |
| Provider Name | Kimberly Starkey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1881767283 PECOS PAC ID: 3173691953 Enrollment ID: I20170525000591 |
| Provider Name | Brianna Wojnar |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1558887992 PECOS PAC ID: 5193073856 Enrollment ID: I20180813001771 |
| Provider Name | Jana Medves |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902327521 PECOS PAC ID: 9335498658 Enrollment ID: I20180821000288 |
| Provider Name | Christie L Cislo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649792805 PECOS PAC ID: 7315299807 Enrollment ID: I20181011000339 |
| Provider Name | Lauren J Calabrese |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982196267 PECOS PAC ID: 8325389786 Enrollment ID: I20190411001986 |
| Provider Name | Victoria Rosdahl |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932698115 PECOS PAC ID: 7315289725 Enrollment ID: I20190506001677 |
| Provider Name | Leigh Esposito |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174053508 PECOS PAC ID: 6901149905 Enrollment ID: I20190514002944 |
| Provider Name | Marilyn Calabrese |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740509967 PECOS PAC ID: 5496083149 Enrollment ID: I20190820001761 |
| Provider Name | Gregory Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356804900 PECOS PAC ID: 9537498365 Enrollment ID: I20190904001679 |
| Provider Name | Amanda Dorchak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083246276 PECOS PAC ID: 4284062506 Enrollment ID: I20200320001427 |
| Provider Name | Laura Zaprowski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649798471 PECOS PAC ID: 3870921927 Enrollment ID: I20200324000750 |
| Provider Name | Phoebe Gillis Buscaglia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639701824 PECOS PAC ID: 6709217805 Enrollment ID: I20200505001197 |
| Provider Name | Yee Ting Siu |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235740879 PECOS PAC ID: 7113347071 Enrollment ID: I20201014001131 |
| Provider Name | Danielle K Flanigan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790053650 PECOS PAC ID: 8527479930 Enrollment ID: I20201116001057 |
| Provider Name | Ruben Silva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871982447 PECOS PAC ID: 1456762616 Enrollment ID: I20201120000021 |
| Provider Name | Morgan Nicholson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972092203 PECOS PAC ID: 4981015047 Enrollment ID: I20201120000115 |
| Provider Name | Lauren Hall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720500515 PECOS PAC ID: 7012328867 Enrollment ID: I20201130001213 |
| Provider Name | Joelle Sawyer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225542210 PECOS PAC ID: 6901211424 Enrollment ID: I20210216001062 |
| Provider Name | Toni Caruso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003284712 PECOS PAC ID: 6507271020 Enrollment ID: I20210216001212 |
| Provider Name | Brittany Krause |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427649383 PECOS PAC ID: 1052726981 Enrollment ID: I20210226000698 |
| Provider Name | Charles Geary |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083753511 PECOS PAC ID: 8325455371 Enrollment ID: I20210318002481 |
| Provider Name | Jessica Maxwell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407438609 PECOS PAC ID: 8628477643 Enrollment ID: I20210525001219 |
| Provider Name | Ashley Krol |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861065674 PECOS PAC ID: 3476957671 Enrollment ID: I20210810003737 |
| Provider Name | Emily Parks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679146492 PECOS PAC ID: 9537563457 Enrollment ID: I20210813001272 |
| Provider Name | Vanessa Duhan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760063275 PECOS PAC ID: 2769887389 Enrollment ID: I20210819003356 |
| Provider Name | Keelen Kubicki |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659994713 PECOS PAC ID: 2062817497 Enrollment ID: I20210824001858 |
| Provider Name | Brittany Ferger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679129381 PECOS PAC ID: 3375949118 Enrollment ID: I20210902002182 |
| Provider Name | Jacob Huff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881340792 PECOS PAC ID: 2062807589 Enrollment ID: I20220321001060 |
| Provider Name | Valerie Quebral |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629747928 PECOS PAC ID: 3678952223 Enrollment ID: I20220628001604 |
| Provider Name | Renee Reinberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003563909 PECOS PAC ID: 2961883723 Enrollment ID: I20220726000442 |
| Provider Name | Noora Somersalo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558031898 PECOS PAC ID: 1951783380 Enrollment ID: I20220802002446 |
| Provider Name | Alexandrea Verost |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1710605878 PECOS PAC ID: 1254715071 Enrollment ID: I20220829001196 |
| Provider Name | Ryan Donahue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508594920 PECOS PAC ID: 3678958212 Enrollment ID: I20220916002420 |
| Provider Name | Kylee Norton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588380943 PECOS PAC ID: 5597133082 Enrollment ID: I20221114002376 |
| Provider Name | Lisa M Traniello |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164579678 PECOS PAC ID: 6507239266 Enrollment ID: I20230227002798 |
| Provider Name | Richelle L Anthony |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1093444135 PECOS PAC ID: 8921471608 Enrollment ID: I20230228000688 |
| Provider Name | Rachel Zepp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265139877 PECOS PAC ID: 8426421017 Enrollment ID: I20230301002295 |
| Provider Name | Toni Maxwell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326418161 PECOS PAC ID: 5698140788 Enrollment ID: I20230403000967 |
| Provider Name | Ana Canale |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992439236 PECOS PAC ID: 1951776046 Enrollment ID: I20230403000983 |
| Provider Name | Julie Ash |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801598388 PECOS PAC ID: 1355716457 Enrollment ID: I20230403001217 |
| Provider Name | Marcia Shea |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306115118 PECOS PAC ID: 1052715190 Enrollment ID: I20230411000535 |
| Provider Name | Bradley Martynowicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134905011 PECOS PAC ID: 5294181186 Enrollment ID: I20231030000801 |
| Provider Name | Amy Phillips |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1730561986 PECOS PAC ID: 2365898251 Enrollment ID: I20231030000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Services, Llc 2900 Delaware Ave, Kenmore, NY 14217-2309 Ph: (716) 871-9883 | Diversified Services, Llc 2900 Delaware Ave, Kenmore, NY 14217-2309 Ph: (716) 871-9883 |
Daniel Cartwright, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9883 Fax: 716-871-9887 | |
Dr. Christine Theresa Schultz Knox, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9883 Fax: 716-871-9887 | |
Mrs. Angela Marie Minniefield, MS CCC A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9915 Fax: 716-362-0472 | |
Peggy Lichtenthal, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 3306 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-1609 | |
Yee Ting Siu, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9915 Fax: 716-871-9887 | |
Dr. Mary Ellen Scherer, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 171-687-19883317 | |
Dr. Dianna Lynn Theokas, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 3306 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-1609 |