Bianca Gillam, | |
103 Washington St, Elmira, NY 14901-3220 | |
(607) 737-2001 | |
Not Available |
Full Name | Bianca Gillam |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 103 Washington St, Elmira, 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 |
---|---|---|---|
1184212219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Select Pt, Ot & Slp Rehabilitation Ny, Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457026353 PECOS PAC ID: 3870986656 Enrollment ID: O20220201000412 |
Mailing Address | Practice Location Address |
---|---|
Bianca Gillam, 103 Washington St, Elmira, NY 14901-3220 Ph: (607) 737-2001 | Bianca Gillam, 103 Washington St, Elmira, NY 14901-3220 Ph: (607) 737-2001 |
Ms. Sarah Marie Mucenski, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 602 Ivy St, Rehabilitation Services, Elmira, NY 14905 Phone: 607-737-4131 Fax: 607-735-5710 | |
Alyssa Mae Fervan, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 459 Philo Rd, Elmira, NY 14903 Phone: 607-739-3581 | |
Mrs. Jessica Ann Cirillo Wenck, M.A.-CCC- SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 W Thurston St, Elmira, NY 14901 Phone: 607-735-3000 | |
Mrs. Sallyanne Kohut, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 305 College Avenue, Elmira, NY 14901 Phone: 607-734-1861 Fax: 607-734-1985 | |
Ms. Jennifer Lynne Lazarou, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 459 Philo Rd, Elmira, NY 14903 Phone: 607-793-3581 | |
Mrs. Kathleen Therese Appel Wheeler, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1118 Charles St, Elmira, NY 14904 Phone: 607-734-7107 Fax: 607-734-7334 | |
Mrs. Margaret H. Cook, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 305 College Ave, Elmira, NY 14901 Phone: 607-734-1861 Fax: 607-734-1985 |