Annmarie Kane, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Shoreham, NY

NPI 1508991175 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1508991175
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
016352-1 (NY)
Practice address
24 Jomar Rd
Shoreham, NY 11786-1936
Phone
(631) 849-4022
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
016352-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 016352-1 NY Yes

Addresses

Primary practice location

24 Jomar Rd
Shoreham, NY 11786-1936

Mailing address

24 Jomar Rd
Shoreham, NY 11786-1936
Phone (631) 849-4022

Other providers in Shoreham, NY

All providers in Shoreham, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.