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 |
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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 | |
Mrs. Nadine Ann O'sullivan, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5 Bethpage Rd, Hicksville, NY 11801 Phone: 516-932-7414 |