Ji Young Park, | |
2 Longview Ave, Suite 600 6th Floor, White Plains, NY 10601 | |
(914) 849-7586 | |
Not Available |
Full Name | Ji Young Park |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2 Longview Ave, White Plains, 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 |
---|---|---|---|
1558954255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | White Plains Physician Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124502687 PECOS PAC ID: 3476894445 Enrollment ID: O20190402000216 |
Mailing Address | Practice Location Address |
---|---|
Ji Young Park, 8817a 53ave 2fl, Elmhurst, NY 11373 Ph: (917) 817-0210 | Ji Young Park, 2 Longview Ave, Suite 600 6th Floor, White Plains, NY 10601 Ph: (914) 849-7586 |
Ms. Mindy Joy Aschkenasy, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 154 Old Mamaroneck Rd, White Plains, NY 10605 Phone: 917-679-1231 | |
Miss Laurie A Mattaboni, MS CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10 New King St, 105, White Plains, NY 10604 Phone: 914-390-9880 | |
Courtney Picciano, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Orchard Dr, White Plains, NY 10603 Phone: 914-275-8918 | |
Michelle Monforte, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 456 North St, White Plains, NY 10605 Phone: 914-761-2731 | |
Elizabeth Helmrich, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5 Bryant Cres Apt 2j, White Plains, NY 10605 Phone: 914-715-3843 | |
Samantha Rae Capece, M.S. ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 785 Mamaroneck Ave, White Plains, NY 10605 Phone: 914-597-2500 | |
Ms. Jennifer V. Wasserberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 167 Greenridge Ave, White Plains, NY 10605 Phone: 914-498-0516 |