Mrs Keelen Mary Burke, | |
4 West St, Macedon, NY 14502-8803 | |
(315) 986-4474 | |
Not Available |
Full Name | Mrs Keelen Mary Burke |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 4 West St, Macedon, 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 |
---|---|---|---|
1659994713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 030759 (New York) | Primary |
Provider Name | Diversified Services For Occupational Therapy Physical Ther |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447283882 PECOS PAC ID: 0143204917 Enrollment ID: O20050805000553 |
Mailing Address | Practice Location Address |
---|---|
Mrs Keelen Mary Burke, 127 Cuyler St, Palmyra, NY 14522-1401 Ph: (716) 602-9309 | Mrs Keelen Mary Burke, 4 West St, Macedon, NY 14502-8803 Ph: (315) 986-4474 |
Mrs. Jill Wickman Escriva, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2503 Canandaigua Rd, Macedon, NY 14502 Phone: 315-986-5779 | |
Ms. Kelly Marie Sinclair Babcock, MA, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1425 Willowdale Dr, Macedon, NY 14502 Phone: 315-538-8535 | |
Mrs. Paris Marie Leibenguth, MS-CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 640 Bayberry Ln, Macedon, NY 14502 Phone: 585-704-4143 | |
Mrs. Colleen A Havranek, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3290 Eagles Roost Lane, Macedon, NY 14502 Phone: 315-524-1170 Fax: 315-524-1049 | |
Mackenzie Dubay, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 440 Parkside Trl, Macedon, NY 14502 Phone: 315-439-0126 |