| Peconic Speech Services, P.c. | |
|
305 Edwards Ave, Calverton, NY 11933 | |
| (631) 948-2822 | |
| (631) 880-7788 |
| Full Name | Peconic Speech Services, P.c. |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 305 Edwards Ave, Calverton, 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 |
|---|---|---|---|
| 1679981385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Shannon M Dupuis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467587386 PECOS PAC ID: 8426390048 Enrollment ID: I20190501002572 |
| Mailing Address | Practice Location Address |
|---|---|
| Peconic Speech Services, P.c. Po Box 789, Calverton, NY 11933-0789 Ph: (631) 948-2822 | Peconic Speech Services, P.c. 305 Edwards Ave, Calverton, NY 11933 Ph: (631) 948-2822 |
Grace Minelli, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 374 Riley Ave, Calverton, NY 11933 Phone: 631-369-6804 | |
Jamie A. Rosso, MA CCC-SLP TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3685 Middle Country Rd, Calverton, NY 11933 Phone: 631-553-4680 | |
Mrs. Janet Lynn Kantor, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 374 Riley Avenue, Riley Avenue School, Calverton, NY 11933 Phone: 631-369-6805 Fax: 631-369-6807 |