Jennifer Robertson, | |
14461 Roosevelt Ave, Flushing, NY 11354-6252 | |
(718) 939-8700 | |
(718) 939-0881 |
Full Name | Jennifer Robertson |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 14461 Roosevelt Ave, Flushing, 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 |
---|---|---|---|
1831412949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 018597 (New York) | Primary |
Provider Name | The Shield Of David, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184661290 PECOS PAC ID: 2264472026 Enrollment ID: O20050511000335 |
Mailing Address | Practice Location Address |
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Jennifer Robertson, 14461 Roosevelt Ave, Flushing, NY 11354-6252 Ph: (718) 939-8700 | Jennifer Robertson, 14461 Roosevelt Ave, Flushing, NY 11354-6252 Ph: (718) 939-8700 |
Hamutal Davidov, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 14730 73rd Ave, Flushing, NY 11367 Phone: 347-617-9578 | |
Elanna Osdoby, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2966 137th St, Flushing, NY 11354 Phone: 718-445-2902 | |
Sungkuk Park, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4320 Murray St Fl 2, Flushing, NY 11355 Phone: 718-578-8708 | |
Michele Gamzo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3474 113th St, Flushing, NY 11368 Phone: 718-429-5700 | |
Shoma Johnson, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3506 169th St Apt C1, Flushing, NY 11358 Phone: 678-622-1933 | |
Lee Anne Robison, MA Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-1651 Fax: 516-437-4167 | |
Ms. Jean Ng Pack, MA, CCC-SLP, TSHH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16327 26th Ave, Flushing, NY 11358 Phone: 917-952-3134 |