Mr Andrew Emile Pancila Jr, CCC-SLP, CBIS | |
21 Bond St Apt 3g, Great Neck, NY 11021-2029 | |
(516) 849-4035 | |
Not Available |
Full Name | Mr Andrew Emile Pancila Jr |
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Gender | Male |
Speciality | Speech-language Pathologist |
Location | 21 Bond St Apt 3g, Great Neck, 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 |
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1679114656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 027342 (New York) | Primary |
Provider Name | Gold Coast Speech & Swallowing Slp, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013789510 PECOS PAC ID: 6709238637 Enrollment ID: O20240117000218 |
Mailing Address | Practice Location Address |
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Mr Andrew Emile Pancila Jr, CCC-SLP, CBIS 21 Bond St Apt 3g, Great Neck, NY 11021-2029 Ph: (516) 849-4035 | Mr Andrew Emile Pancila Jr, CCC-SLP, CBIS 21 Bond St Apt 3g, Great Neck, NY 11021-2029 Ph: (516) 849-4035 |
Gold Coast Speech & Swallowing Slp, Pllc Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 21 Bond St Apt 3g, Great Neck, NY 11021 Phone: 516-849-4035 | |
Ms. Niloufar Tabari, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 21 Plymouth Rd, Great Neck, NY 11023 Phone: 917-406-1259 | |
Mrs. Natali Ben-david, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 68 Wooleys Ln, B34, Great Neck, NY 11023 Phone: 516-300-3255 | |
Sheena Rismany, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6 Lee Ct, Great Neck, NY 11024 Phone: 516-404-9010 | |
Janine Sadaka, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 105 Clover Dr, Pupil Personnel Services - Great Neck Public Schools, Great Neck, NY 11021 Phone: 516-441-4970 Fax: 516-441-4270 | |
Elizabeth Ann Ort, M.A.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 Woodlawn Ave, Great Neck, NY 11023 Phone: 516-829-1092 | |
Ms. Julie Nuba, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 50 S Middle Neck Rd, 3d, Great Neck, NY 11021 Phone: 917-339-1678 |