Peconic Speech Services, P.c. | |
305 Edwards Ave, Calverton, NY 11933 | |
(631) 948-2822 | |
(631) 880-7788 |
Full Name | Peconic Speech Services, P.c. |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 305 Edwards Ave, Calverton, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679981385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
Provider Name | Shannon M Dupuis |
---|---|
Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1467587386 PECOS PAC ID: 8426390048 Enrollment ID: I20190501002572 |
Mailing Address | Practice Location Address |
---|---|
Peconic Speech Services, P.c. Po Box 789, Calverton, NY 11933-0789 Ph: (631) 948-2822 | Peconic Speech Services, P.c. 305 Edwards Ave, Calverton, NY 11933 Ph: (631) 948-2822 |
Jamie A. Rosso, MA CCC-SLP TSSLD Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3685 Middle Country Rd, Calverton, NY 11933 Phone: 631-553-4680 | |
Mrs. Janet Lynn Kantor, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 374 Riley Avenue, Riley Avenue School, Calverton, NY 11933 Phone: 631-369-6805 Fax: 631-369-6807 |