Jill M Maxam, SP | |
2150 Bleecker St, Utica, NY 13501-1738 | |
(315) 798-4867 | |
(315) 798-4944 |
Full Name | Jill M Maxam |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2150 Bleecker St, Utica, 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 |
---|---|---|---|
1235371139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 013922 (New York) | Primary |
Provider Name | Charles T. Sitrin Health Care Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770589251 PECOS PAC ID: 4284613563 Enrollment ID: O20040719001547 |
Mailing Address | Practice Location Address |
---|---|
Jill M Maxam, SP 2150 Bleecker St, Utica, NY 13501-1738 Ph: (315) 798-4867 | Jill M Maxam, SP 2150 Bleecker St, Utica, NY 13501-1738 Ph: (315) 798-4867 |
Mrs. Danyse D Collins, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 106 Memorial Parkway, Utica City School District, Utica, NY 13501 Phone: 315-368-6018 | |
Amy Loraine Tabor, TSHH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 326 Catherine St, Utica, NY 13501 Phone: 315-927-2321 Fax: 315-797-7249 | |
Angelene Ronquillo, ST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2209 Genesee St, Utica, NY 13501 Phone: 315-798-8160 Fax: 315-798-8397 | |
Donna Marie Osano, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 136 Marnie St, Utica, NY 13502 Phone: 315-798-1008 | |
Karen E Frank, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1601 Armory Dr, Utica, NY 13501 Phone: 315-798-8808 | |
Lyndsy Davis, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1656 Champlin Ave, Utica, NY 13502 Phone: 315-624-6557 Fax: 315-624-4723 | |
Ms. Deborah L. Stedman, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1815 Bleecker St., Utica, NY 13501 Phone: 315-533-4115 |