| Kim Sudama, | |
|
1428 5th Ave, Bay Shore, NY 11706-4147 | |
| (631) 392-0081 | |
| Not Available |
| Full Name | Kim Sudama |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 1428 5th Ave, Bay Shore, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700929601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 012854 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Sudama, 133 Grassy Pond Dr, Smithtown, NY 11787-4273 Ph: (516) 906-8957 | Kim Sudama, 1428 5th Ave, Bay Shore, NY 11706-4147 Ph: (631) 392-0081 |
Andrea Passannante, OT, OTR/L, CDIS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3400 | |
Alyssa Verron, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Perkal St, Bay Shore, NY 11706 Phone: 631-968-1252 | |
Mrs. Susan L Gouldson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Avenue, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Lindsey Elizabeth Kertland, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Danielle Hartnett, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 W Main St Ste 202, Bay Shore, NY 11706 Phone: 631-206-3130 Fax: 631-206-3148 | |
Miss Nicole Kathryn Maseroni, MS OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Mr. Michael James Flynn, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1432 Brooklyn Blvd, Bay Shore, NY 11706 Phone: 631-647-4727 |