| Jessica Mallozzi, | |
| 
					400 S Oyster Bay Rd Ste 102, Hicksville, NY 11801-3500  | |
| (631) 240-3579 | |
| Not Available | 
| Full Name | Jessica Mallozzi | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 400 S Oyster Bay Rd Ste 102, Hicksville, 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 | 
|---|---|---|---|
| 1184408866 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 034478 (New York) | Primary | 
| Provider Name | Theralympic Speech Therapy Pllc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1730665043 PECOS PAC ID: 8325378102 Enrollment ID: O20190920000634  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jessica Mallozzi, 400 S Oyster Bay Rd Ste 102, Hicksville, NY 11801-3500 Ph: (631) 240-3579  | Jessica Mallozzi, 400 S Oyster Bay Rd Ste 102, Hicksville, NY 11801-3500 Ph: (631) 240-3579  | 
Kayla Ilene Pacheco,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 85 Ketcham Rd, Hicksville, NY 11801 Phone: 516-733-2331  | |
Dana Aboulafia,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 35 Haverford Rd, Hicksville, NY 11801 Phone: 516-938-7344  | |
Gemma Roberta Formicola,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd Ste 102, Hicksville, NY 11801 Phone: 631-240-3579  | |
Samantha Lynn Abtey, MS, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd Ste 102, Hicksville, NY 11801 Phone: --  | |
Bobbi Lynn Oconnor,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 631-240-3579  | |
Lucille M Punzi, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5 Bethpage Rd, Hicksville, NY 11801 Phone: 516-932-7414 Fax: 516-932-8730  | |
Cassandra Tan, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 631-240-3579  |