Alisa Cooney-mandart, is a
Speech-language Pathologist based in Hannibal, New York. Alisa Cooney-mandart is licensed to practice in New York (license number 58005986) and her current practice location is
374 Harris Hill Rd, Hannibal, New York. She can be reached at her office (for appointments etc.) via phone at
(908) 461-3212.
NPI number for Alisa Cooney-mandart is 1861813255 and her current mailing address is 374 Harris Hill Rd, Hannibal, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861813255.
Healthcare Provider's Profile
Full Name | Alisa Cooney-mandart |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 374 Harris Hill Rd, Hannibal, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861813255
- Provider Enumeration Date: 01/02/2014
- Last Update Date: 01/02/2014
Medical Identifiers
Medical identifiers for Alisa Cooney-mandart such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861813255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 58005986 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alisa Cooney-mandart is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alisa Cooney-mandart, 374 Harris Hill Rd, Hannibal, NY 13074-2265 Ph: (908) 461-3212 | Alisa Cooney-mandart, 374 Harris Hill Rd, Hannibal, NY 13074-2265 Ph: (908) 461-3212 |
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