| Haley Van Den Burg, | |
| 3820 Bowne St, Flushing, NY 11354-5638 | |
| (877) 407-3422 | |
| (877) 407-4329 | 
| Full Name | Haley Van Den Burg | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 3820 Bowne St, Flushing, 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 | 
|---|---|---|---|
| 1528816220 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary | 
| Provider Name | Fox Rehabilitation Physical Therapy Services Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1174560650 PECOS PAC ID: 1355395179 Enrollment ID: O20061023000060 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Haley Van Den Burg, 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 Ph: (877) 407-3422 | Haley Van Den Burg, 3820 Bowne St, Flushing, NY 11354-5638 Ph: (877) 407-3422 | 
| Hamutal Davidov,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14730 73rd Ave, Flushing, NY 11367 Phone: 347-617-9578 | |
| Elanna Osdoby,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2966 137th St, Flushing, NY 11354 Phone: 718-445-2902 | |
| Sungkuk Park, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4320 Murray St Fl 2, Flushing, NY 11355 Phone: 718-578-8708 | |
| Michele Gamzo,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3474 113th St, Flushing, NY 11368 Phone: 718-429-5700 | |
| Shoma Johnson, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3506 169th St Apt C1, Flushing, NY 11358 Phone: 678-622-1933 | |
| Lee Anne Robison, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1651 Fax: 516-437-4167 | |
| Ms. Jean Ng Pack, MA, CCC-SLP, TSHH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16327 26th Ave, Flushing, NY 11358 Phone: 917-952-3134 |