Allison Mary Ickstadt, | |
1174 Fortune Ct, Wantagh, NY 11793-2759 | |
(516) 221-1431 | |
Not Available |
Full Name | Allison Mary Ickstadt |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1174 Fortune Ct, Wantagh, 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 |
---|---|---|---|
1871102608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Priority One Therapy Pt Ot Slp Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447517453 PECOS PAC ID: 0941462006 Enrollment ID: O20120507000573 |
Mailing Address | Practice Location Address |
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Allison Mary Ickstadt, 1174 Fortune Ct, Wantagh, NY 11793-2759 Ph: (516) 221-1431 | Allison Mary Ickstadt, 1174 Fortune Ct, Wantagh, NY 11793-2759 Ph: (516) 221-1431 |
Mrs. Linda Ann Viviano, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2964 Ruth Rd, Wantagh, NY 11793 Phone: 917-975-1916 Fax: 516-783-3008 | |
Debra Salomon, MACCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1415 Holiday Park Dr, Wantagh, NY 11793 Phone: 516-783-7868 | |
Ms. Carrie Wind, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2850 N Jerusalem Rd, Wantagh, NY 11793 Phone: 631-647-3000 | |
Mrs. Christine Bonagura, MS, SLP/CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2860 N Jerusalem Rd, Wantagh, NY 11793 Phone: 516-396-2935 | |
Carol L Vehslage, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2850 N Jerusalem Rd, Wantagh, NY 11793 Phone: 516-396-2600 | |
Angela Cozza, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3709 Jules Ln, Wantagh, NY 11793 Phone: 516-732-4662 | |
Mrs. Julianne Keym, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1209 Martin Dr, Wantagh, NY 11793 Phone: 516-826-5112 |