Christie Lynn Cislo, | |
2900 Delaware Ave, Kenmore, NY 14217-2309 | |
(716) 871-9883 | |
Not Available |
Full Name | Christie Lynn Cislo |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2900 Delaware Ave, Kenmore, 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 |
---|---|---|---|
1649792805 | NPI | - | NPPES |
BXF880873770 | Other | NY | BLUECROSS BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
235Z00000X | Speech-language Pathologist | 027624 (New York) | Secondary |
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 |
---|---|
Christie Lynn Cislo, 2900 Delaware Ave, Kenmore, NY 14217-2309 Ph: () - | Christie Lynn Cislo, 2900 Delaware Ave, Kenmore, NY 14217-2309 Ph: (716) 871-9883 |
Catherine Cronin-buettner, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 29 Argonne Dr, Kenmore, NY 14217 Phone: 716-875-3359 | |
Ms. Jessica L Ryan, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2565 Elmwood Ave, Kenmore, NY 14217 Phone: 716-871-9883 | |
Miss Lisa M Traniello, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9883 Fax: 716-871-9887 | |
Mr. Richard D. Avella, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 60 Nassau Ave, Kenmore, NY 14217 Phone: 716-876-2495 | |
Rachel Elizabeth Epstein, M.S. ED. CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9883 Fax: 716-871-9887 | |
Taylor M Wagner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9883 | |
Mrs. Jacqueline Marie Shellum, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2565 Elmwood Ave, Kenmore, NY 14217 Phone: 716-871-9883 |