| Susan Takacs, OT | |
|
1000 Montauk Hwy, Good Samaritan Hospital, West Islip, NY 11795-4927 | |
| (631) 376-4109 | |
| Not Available |
| Full Name | Susan Takacs |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1000 Montauk Hwy, West Islip, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336315076 | NPI | - | NPPES |
| 012545 | Other | NY | LISCENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 012545 (New York) | Primary |
| Provider Name | Theralympic Speech Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730665043 PECOS PAC ID: 8325378102 Enrollment ID: O20190920000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Takacs, OT 1000 Montauk Hwy, Good Samaritan Hospital, West Islip, NY 11795-4927 Ph: (631) 376-4109 | Susan Takacs, OT 1000 Montauk Hwy, Good Samaritan Hospital, West Islip, NY 11795-4927 Ph: (631) 376-4109 |
Diane Maresca, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 688 Pat Dr, West Islip, NY 11795 Phone: 631-943-6445 | |
Danielle Conwell, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Doncaster Ave, West Islip, NY 11795 Phone: 201-787-9543 | |
Kristen Spargo, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, Good Samaritan Hospital, West Islip, NY 11795 Phone: 631-376-4109 | |
Montefiore Medical Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1111 Montauk Hwy Ste 2-2, West Islip, NY 11795 Phone: 631-840-6209 Fax: 631-458-1338 | |
Ms. Linda Margaret Zachry, O.T.R./L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 26 Cedar Point Dr, West Islip, NY 11795 Phone: 631-838-1585 | |
Mrs. Laura Suzanne Cusumano, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Penny St, West Islip, NY 11795 Phone: 631-806-6945 |