Lissette Kaleena Vizcarrondo, MS, CCC-SLP | |
22 French St, Locust Valley, NY 11560-2319 | |
(516) 355-6001 | |
Not Available |
Full Name | Lissette Kaleena Vizcarrondo |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 22 French St, Locust Valley, 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 |
---|---|---|---|
1366141673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 030804 (New York) | Primary |
Provider Name | Ny Speech Pathology Consultants Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285976324 PECOS PAC ID: 7618111634 Enrollment ID: O20130912000851 |
Mailing Address | Practice Location Address |
---|---|
Lissette Kaleena Vizcarrondo, MS, CCC-SLP 1000 Wallace Ave, North Baldwin, NY 11510-2155 Ph: (347) 387-3662 | Lissette Kaleena Vizcarrondo, MS, CCC-SLP 22 French St, Locust Valley, NY 11560-2319 Ph: (516) 355-6001 |
Michele De Maria Slp, P.c. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 60 Baldwin Ave, Locust Valley, NY 11560 Phone: 917-282-2219 | |
Ny Speech Pathology Consultants, P.c. Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 22 French St, Locust Valley, NY 11560 Phone: 516-355-6001 | |
Mrs. Miryan Flores, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 37 8th St, Locust Valley, NY 11560 Phone: 917-349-3104 | |
Judith A. Williams, M.S., CCC/SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 22 French St, Locust Valley, NY 11560 Phone: 516-355-6001 | |
Mrs. Jana Skye Hertzendorf-vitale, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7 Millford Dr, Locust Valley, NY 11560 Phone: 516-771-2807 | |
Katelyn Madeline Paige, M.S., CCC-SLP, CBIS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22 French St, Locust Valley, NY 11560 Phone: 516-355-6001 |