| Ms Keovmorkodh Kucharski, MS CF-SLP | |
| 
					150-50 14th Road, Whitestone, NY 11357  | |
| (718) 767-0091 | |
| (718) 767-0086 | 
| Full Name | Ms Keovmorkodh Kucharski | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 150-50 14th Road, Whitestone, 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 | 
|---|---|---|---|
| 1023426053 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 23364 (California) | Primary | 
| Provider Name | Southern California Permanente Medical Group | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Keovmorkodh Kucharski, MS CF-SLP 244 5th Ave Ste J263, New York, NY 10001-7604 Ph: (310) 661-1133  | Ms Keovmorkodh Kucharski, MS CF-SLP 150-50 14th Road, Whitestone, NY 11357 Ph: (718) 767-0091  | 
Madeleine Logan,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 150-50 14th Road, Whitestone, NY 11357 Phone: 718-767-0091  | |
All In 1 Spot With Theratalk Slp, Pt, Ot, Psychology Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 718-767-0091  | |
Natasha Eva Kriegel,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 516-784-8966  | |
Ms. Julianna Maria Ioannou, SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 718-767-0091 Fax: 718-767-0086  | |
Mrs. Despina Katsiaris, MS CCC-SLP, TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 718-767-0091 Fax: 718-767-0086  | |
Katherine Werbeck, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15050 14th Rd, Whitestone, NY 11357 Phone: 718-767-0071  |