| New York Neurogenic Speech-language Pathology, P.c. | |
|
32 Jasmine Ln, Kings Park, NY 11754-3925 | |
| (917) 952-0633 | |
| Not Available |
| Full Name | New York Neurogenic Speech-language Pathology, P.c. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 32 Jasmine Ln, Kings Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639306046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 016751-1 (New York) | Primary |
| Provider Name | Marissa A Barrera |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396960837 PECOS PAC ID: 4284780875 Enrollment ID: I20090923000522 |
| Mailing Address | Practice Location Address |
|---|---|
| New York Neurogenic Speech-language Pathology, P.c. 32 Jasmine Ln, Kings Park, NY 11754-3925 Ph: (917) 952-0633 | New York Neurogenic Speech-language Pathology, P.c. 32 Jasmine Ln, Kings Park, NY 11754-3925 Ph: (917) 952-0633 |
Ms. Lindsay Rose Sommo, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1156 Saint Johnland Rd, Kings Park, NY 11754 Phone: 631-655-6951 | |
Amanda Brooke Russell Schmidt, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Norma Ln, Kings Park, NY 11754 Phone: 631-292-2658 | |
Tanya Hefets, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 149 Lakebridge Dr N, Kings Park, NY 11754 Phone: 646-462-2202 | |
Ms. Sabrina Angela Klemballa, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 78 Twin Oaks Dr, Kings Park, NY 11754 Phone: 631-663-3036 | |
Miss Jenna Marie Weschler, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 Windham Cres, Kings Park, NY 11754 Phone: 516-384-4823 | |
Mrs. Kerry Ann Lonardo, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 69 Park Ave, Kings Park, NY 11754 Phone: 631-269-5945 | |
Mrs. Elissa Miller, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 395 Sunken Meadow Rd, Kings Park, NY 11754 Phone: 631-663-2727 |