Ms Samantha Koncak, MS, SLP is a
Speech-language Pathologist based in Candor, New York. Ms Samantha Koncak is licensed to practice in New York (license number 020118-1) and her current practice location is
293 Owego Rd, Candor, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 761-5247.
NPI number for Ms Samantha Koncak is 1881905230 and her current mailing address is 293 Owego Rd, Candor, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881905230.
Healthcare Provider's Profile
| Full Name | Ms Samantha Koncak |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 293 Owego Rd, Candor, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881905230
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 06/30/2010
Medical Identifiers
Medical identifiers for Ms Samantha Koncak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881905230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | 020118-1 (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. Ms Samantha Koncak 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 |
|---|
Ms Samantha Koncak, MS, SLP
293 Owego Rd,
Candor, NY 13743-1644
Ph: () - | Ms Samantha Koncak, MS, SLP
293 Owego Rd,
Candor, NY 13743-1644
Ph: (607) 761-5247 |
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