Astoria Speech And Language P.c. | |
3708 28th Ave Ste 202, Astoria, NY 11103-4248 | |
(631) 901-3769 | |
Not Available |
Full Name | Astoria Speech And Language P.c. |
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Type | Facility |
Speciality | Speech-language Pathologist |
Location | 3708 28th Ave Ste 202, Astoria, 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 |
---|---|---|---|
1164040051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Leah Blakeley |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1053628651 PECOS PAC ID: 5193135796 Enrollment ID: I20201111000855 |
Mailing Address | Practice Location Address |
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Astoria Speech And Language P.c. 4702 28th Ave, Astoria, NY 11103-1117 Ph: (631) 901-3769 | Astoria Speech And Language P.c. 3708 28th Ave Ste 202, Astoria, NY 11103-4248 Ph: (631) 901-3769 |
Mrs. Dalia Avezbadalov, M.S., CCC-SLP, TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3711 35th Ave, 3rd Floor, Astoria, NY 11101 Phone: 718-706-7500 | |
Julie Morris, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2258 41st St Apt 2r, Astoria, NY 11105 Phone: 860-305-4697 | |
Nicole Jennifer Tarone, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3711 35th Ave, Astoria, NY 11101 Phone: 718-706-7500 Fax: 718-706-9595 | |
Miss Trista De Falco, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3636 33rd St, Astoria, NY 11106 Phone: 212-589-1203 | |
Diane Wiener, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2534 Steinway St, Astoria, NY 11103 Phone: 718-777-5243 Fax: 718-777-5250 | |
Mrs. Dana Elizabeth Buccellato, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2307 Steinway St Apt 2f, Astoria, NY 11105 Phone: 845-729-8146 | |
Mrs. Lori Rachel Berg, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 30-15 29th St, Ps 234, Astoria, NY 11102 Phone: 516-314-5999 |