Mrs Pamela Konstantina Petrushesky, SLP is a
Speech-language Pathologist based in East Pembroke, New York. Mrs Pamela Konstantina Petrushesky is licensed to practice in New York (license number 005729-1) and her current practice location is
2486 Main Rd, East Pembroke, New York. She can be reached at her office (for appointments etc.) via phone at
(585) 599-4525.
NPI number for Mrs Pamela Konstantina Petrushesky is 1275810327 and her current mailing address is 34 Running Brook Dr, Lancaster, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275810327.
Healthcare Provider's Profile
Full Name | Mrs Pamela Konstantina Petrushesky |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 2486 Main Rd, East Pembroke, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275810327
- Provider Enumeration Date: 11/03/2011
- Last Update Date: 11/03/2011
Medical Identifiers
Medical identifiers for Mrs Pamela Konstantina Petrushesky such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275810327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 005729-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Pamela Konstantina Petrushesky is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Pamela Konstantina Petrushesky, SLP 34 Running Brook Dr, Lancaster, NY 14086-3309 Ph: (716) 668-5756 | Mrs Pamela Konstantina Petrushesky, SLP 2486 Main Rd, East Pembroke, NY 14056 Ph: (585) 599-4525 |
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