| Jamila Basharat, | |
|
12 Washington St, Fort Edward, NY 12828-1734 | |
| (518) 899-9235 | |
| (518) 899-9315 |
| Full Name | Jamila Basharat |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 12 Washington St, Fort Edward, 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 |
|---|---|---|---|
| 1154652899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 0019664 (New York) | Primary |
| Provider Name | Nysarc, Inc Schenectady Co Chapter |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386665354 PECOS PAC ID: 3779689039 Enrollment ID: O20070502000419 |
| Provider Name | Nysarc Inc Montgomery County Chapter Liberty |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376902734 PECOS PAC ID: 1557651411 Enrollment ID: O20160606000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamila Basharat, 8 Harvester Way, Ballston Lake, NY 12019-2055 Ph: () - | Jamila Basharat, 12 Washington St, Fort Edward, NY 12828-1734 Ph: (518) 899-9235 |
Ms. Maura D Fox, M.S.CCC-SLP,NBCT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1153 Burgoyne Ave, Suite 2, Fort Edward, NY 12828 Phone: 518-581-3605 | |
Ms. Mary Sheldon Price, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1153 Burgoyne Ave Ste 2, Fort Edward, NY 12828 Phone: 518-746-3605 Fax: 518-746-3629 | |
Mrs. Katherine Eastman Schmiel, MA, CCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1153 Burgoyne Ave, Suite 2, Fort Edward, NY 12828 Phone: 518-746-3310 Fax: 518-746-3319 | |
Natalya Sheetal Lakhtakia, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 220 Broadway, Fort Edward, NY 12828 Phone: 801-828-7173 | |
Lynda R Coccaro, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 220 Broadway, Fort Edward, NY 12828 Phone: 518-338-3482 Fax: 518-338-3484 | |
Janelle Hodges, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12 Washington St, Fort Edward, NY 12828 Phone: 518-899-9235 |