| Lydia Kuchmak, | |
|
624 Hawkins Ave, Ronkonkoma, NY 11779-2375 | |
| (631) 240-3579 | |
| Not Available |
| Full Name | Lydia Kuchmak |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 624 Hawkins Ave, Ronkonkoma, 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 |
|---|---|---|---|
| 1851039168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | 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 |
|---|---|
| Lydia Kuchmak, 175 Main Ave Apt 106, Wheatley Heights, NY 11798-2119 Ph: (516) 384-4479 | Lydia Kuchmak, 624 Hawkins Ave, Ronkonkoma, NY 11779-2375 Ph: (631) 240-3579 |
Marianne Ruhrold, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Elena Lugo, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 624 Hawkins Ave, Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Kaila C Bardoo, M.S., CCC-SLP, TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Carolina Chaer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Lisa Ann Messina, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 341 Avenue B, Ronkonkoma, NY 11779 Phone: 631-909-1733 | |
Vikis Ventura, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 624 Hawkins Ave, Ronkonkoma, NY 11779 Phone: 631-240-3579 | |
Elizabeth Nigro- Palladino, MA- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 51 School St, Ronkonkoma, NY 11779 Phone: 631-471-1890 |