| Sensory Solutions Of Long Island, Inc | |
|
5225 Nesconset Hwy Buidling# 3, Suite 11&12 Port Jefferson Station NY 11776-2054 | |
| (631) 525-7514 | |
| Not Available |
| Full Name | Sensory Solutions Of Long Island, Inc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 5225 Nesconset Hwy, Port Jefferson Station, New York |
| Authorized Official Name and Position | Regina Provisiero (OWNER) |
| Authorized Official Contact | 6315257514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sensory Solutions Of Long Island, Inc 3 Joes Way Centereach NY 11720-1932 Ph: (631) 525-7514 | Sensory Solutions Of Long Island, Inc 5225 Nesconset Hwy Buidling# 3, Suite 11&12 Port Jefferson Station NY 11776-2054 Ph: (631) 525-7514 |
| NPI Number | 1700340973 |
|---|---|
| Provider Enumeration Date | 01/22/2019 |
| Last Update Date | 01/22/2019 |
| Medicare PECOS PAC ID | 9931579851 |
|---|---|
| Medicare Enrollment ID | O20230110001015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700340973 | NPI | - | NPPES |
| Provider Name | John Amato |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093853830 PECOS PAC ID: 7416083365 Enrollment ID: I20100331000813 |
| Provider Name | Regina Ann Provisiero |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457596207 PECOS PAC ID: 0840660767 Enrollment ID: I20230110001165 |
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