| Jennifer Robertson, | |
| 14461 Roosevelt Ave, Flushing, NY 11354-6252 | |
| (718) 939-8700 | |
| (718) 939-0881 | 
| Full Name | Jennifer Robertson | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 14461 Roosevelt Ave, 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 | 
|---|---|---|---|
| 1831412949 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 018597 (New York) | Primary | 
| Provider Name | The Shield Of David, Inc. | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1184661290 PECOS PAC ID: 2264472026 Enrollment ID: O20050511000335 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jennifer Robertson, 14461 Roosevelt Ave, Flushing, NY 11354-6252 Ph: (718) 939-8700 | Jennifer Robertson, 14461 Roosevelt Ave, Flushing, NY 11354-6252 Ph: (718) 939-8700 | 
| 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 |