| Kelly Coronado, | |
|
400 S Oyster Bay Rd Ste 102, Hicksville, NY 11801-3500 | |
| (631) 240-3579 | |
| Not Available |
| Full Name | Kelly Coronado |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 3 Years |
| Location | 400 S Oyster Bay Rd Ste 102, Hicksville, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851086136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll | 1254553639 | 448 |
| Provider Name | Metro Physical Occupational Speech Massage Therapy & Acupuncture PLLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356742365 PECOS PAC ID: 1254553639 Enrollment ID: O20141120000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Coronado, 9123 220th St, Queens Village, NY 11428-1346 Ph: Not Available | Kelly Coronado, 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 |
Cynthia Nicole Kobsa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801 Phone: 631-240-3579 |
Brianna Paulsen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd Ste 102, Hicksville, NY 11801 Phone: 631-240-3579 |