Mrs Lisa Kathleen Berg-anderson, MS | |
42 Tuttle Ave, Eastport, NY 11941-1307 | |
(631) 898-0261 | |
Not Available |
Full Name | Mrs Lisa Kathleen Berg-anderson |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 42 Tuttle Ave, Eastport, 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 |
---|---|---|---|
1104952837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 007683-1 (New York) | Primary |
Provider Name | Epic Long Island |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174563936 PECOS PAC ID: 7315835907 Enrollment ID: O20040305000757 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lisa Kathleen Berg-anderson, MS 42 Tuttle Ave, Eastport, NY 11941-1307 Ph: (631) 898-0261 | Mrs Lisa Kathleen Berg-anderson, MS 42 Tuttle Ave, Eastport, NY 11941-1307 Ph: (631) 898-0261 |
Berkley Kingston Skorobohaty, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 390b Montauk Highway, Eastport, NY 11941 Phone: 631-325-0800 | |
Mrs. Jade Alexa Addonisio, M. S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8 Raffaella Dr, Eastport, NY 11941 Phone: 631-433-7788 | |
Diana Huebner, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1 Tuttle Ave, Eastport, NY 11941 Phone: 631-801-3057 |