| Michaela Rose Kelly, CCC-SLP | |
|
3559 Merrick Rd, Seaford, NY 11783-2833 | |
| (516) 639-4021 | |
| Not Available |
| Full Name | Michaela Rose Kelly |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 3559 Merrick Rd, Seaford, 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 |
|---|---|---|---|
| 1942081336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7745 (Tennessee) | Secondary |
| 235Z00000X | Speech-language Pathologist | 033366 (New York) | Primary |
| Provider Name | North Shore - Lij Medical Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Michaela Rose Kelly, CCC-SLP 2316 Mattituck Ave, Seaford, NY 11783-3137 Ph: (516) 456-9416 | Michaela Rose Kelly, CCC-SLP 3559 Merrick Rd, Seaford, NY 11783-2833 Ph: (516) 639-4021 |
Kayla Marie Spiller, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3559 Merrick Rd, Seaford, NY 11783 Phone: 516-639-4021 | |
Martine Schultheiss, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 750 Hicksville Rd, Seaford, NY 11783 Phone: 516-316-1930 | |
Mrs. Jennifer Suzanne Gurewich, MS.,CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 750 Hicksville Rd, Seaford, NY 11783 Phone: 516-520-6000 Fax: 516-520-6081 | |
Mrs. Karen Exposito, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 750 Hicksville Rd, Seaford, NY 11783 Phone: 516-520-6001 | |
Ann M Mcgee, MA/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3569 Tonopah St, Seaford, NY 11783 Phone: 516-781-0876 | |
Ms. Evelyn Panagakos Lamia, M.S.,CCC-L/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3931 Mill Rd, Seaford, NY 11783 Phone: 516-797-0389 Fax: 516-797-0389 | |
Mrs. Michele I Vlack Flaherty, M.S., C.C.C.-S.L.P Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 750 Hicksville Rd, Seaford, NY 11783 Phone: 516-520-6000 |