| Beacon Speech-language Pathology Physical And Occupational Therapy | |
|
1441 Old Northern Blvd, Roslyn, NY 11576-2146 | |
| (516) 632-1111 | |
| (516) 625-0238 |
| Full Name | Beacon Speech-language Pathology Physical And Occupational Therapy |
|---|---|
| Type | Facility |
| Speciality | Community/behavioral Health |
| Location | 1441 Old Northern Blvd, Roslyn, 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 |
|---|---|---|---|
| 1932266350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 001225 (New York) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Micah Duchan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174667349 PECOS PAC ID: 5991784480 Enrollment ID: I20040719000084 |
| Provider Name | Adewale S Adenlola |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336224773 PECOS PAC ID: 9436101102 Enrollment ID: I20050228000254 |
| Provider Name | Amy Muskin Galan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710042288 PECOS PAC ID: 5799791240 Enrollment ID: I20060221000887 |
| Provider Name | Hussien M Ahmed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730200262 PECOS PAC ID: 6204985856 Enrollment ID: I20090601000362 |
| Provider Name | Linda C Howe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194986414 PECOS PAC ID: 3274709670 Enrollment ID: I20120106000423 |
| Provider Name | Vinoth K Chandra Mohan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285921726 PECOS PAC ID: 5991969776 Enrollment ID: I20120606000552 |
| Provider Name | Thomas Philippe |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578694873 PECOS PAC ID: 4082848551 Enrollment ID: I20131016001456 |
| Provider Name | Nelli Bardanova |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740694587 PECOS PAC ID: 7012136963 Enrollment ID: I20140909000162 |
| Provider Name | Steven Maryles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144485319 PECOS PAC ID: 1153622626 Enrollment ID: I20151229001692 |
| Provider Name | Diankah Eligon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427185487 PECOS PAC ID: 8022317320 Enrollment ID: I20160506001757 |
| Provider Name | Anton Rs Bluman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1366656886 PECOS PAC ID: 8527347467 Enrollment ID: I20161116001060 |
| Provider Name | Alanna C Conlon |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609099423 PECOS PAC ID: 1759661838 Enrollment ID: I20161207000465 |
| Provider Name | Rosina Trimarchi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174817779 PECOS PAC ID: 5092090902 Enrollment ID: I20170315002253 |
| Provider Name | Ashley R Hebel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033570064 PECOS PAC ID: 3678858545 Enrollment ID: I20170316001817 |
| Provider Name | Alisha Price |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215180120 PECOS PAC ID: 4587949102 Enrollment ID: I20170322002325 |
| Provider Name | Christine Cardella-turner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245643303 PECOS PAC ID: 3476813981 Enrollment ID: I20180201000375 |
| Provider Name | Irene Gregov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467592543 PECOS PAC ID: 7719249069 Enrollment ID: I20180326001206 |
| Provider Name | Leselle Denine Robinson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1669617056 PECOS PAC ID: 9335403765 Enrollment ID: I20180510000849 |
| Provider Name | Jennifer Ann Lee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740668862 PECOS PAC ID: 9436407624 Enrollment ID: I20180803001792 |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Speech-language Pathology Physical And Occupational Therapy 1441 Old Northern Blvd, Roslyn, NY 11576-2146 Ph: (516) 632-1111 | Beacon Speech-language Pathology Physical And Occupational Therapy 1441 Old Northern Blvd, Roslyn, NY 11576-2146 Ph: (516) 632-1111 |