| Keyana Maria Thomas, | |
|
624 Hawkins Ave, Lake Ronkonkoma, NY 11779-2375 | |
| (631) 240-3579 | |
| Not Available |
| Full Name | Keyana Maria Thomas |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 3 Years |
| Location | 624 Hawkins Ave, Lake Ronkonkoma, 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 |
|---|---|---|---|
| 1740960368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 034775 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Speak Your Legacy Inc | 9133595010 | 2 |
| Provider Name | Speak Your Legacy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326766684 PECOS PAC ID: 9133595010 Enrollment ID: O20221018001006 |
| Mailing Address | Practice Location Address |
|---|---|
| Keyana Maria Thomas, 2771 Oxford Pl, East Meadow, NY 11554-5440 Ph: () - | Keyana Maria Thomas, 624 Hawkins Ave, Lake Ronkonkoma, NY 11779-2375 Ph: (631) 240-3579 |
Keirstin Glynn, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 622 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Alyssandra Michelle O'connell, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Sophia Weissman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Miss Kristin Johanna Schoenhofen, M.S., CCC-SLP, TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 163-124-0357 | |
Grace Marie Napolitano, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Carmen Michela Crocitto, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 Fax: 631-389-2644 | |
Alisha Hailey Marine, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-240-3579 |