Nicole J Nicolette Walz (NPI# 1588800718, PAC ID# 1052699311) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1588800718 |
| PAC ID by PECOS | 1052699311 |
| Professional Enrollment ID | I20161021000148 |
| Full Name | Nicole J Nicolette Walz |
| Organization Legal Name | SPEECH LANGUAGE THERAPY OF CENTRAL NEW YORK LLC |
| Address |
12 Central Plz Suite 1 Ilion NY 13357-1701 |
| Phone Number | 3155255275 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 2860780186 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 12 Central Plz, Suite 1, Ilion, NY 13357-1701 | 3155255275 | SPEECH LANGUAGE THERAPY OF CENTRAL NEW YORK LLC |
| Organization Legal Name | SPEECH LANGUAGE THERAPY OF CENTRAL NEW YORK LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee M English | Qualified Speech Language Pathologist | Speech Language Therapy of Central New York LLC | 12 Central Plz, Suite 1, Ilion, NY 13357-1701 |
| Street Address |
12 CENTRAL PLZ SUITE 1 |
| City | ILION |
| State | NY |
| Zip | 13357-1701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Renee M English | Qualified Speech Language Pathologist | Speech Language Therapy of Central New York LLC | 12 Central Plz, Suite 1, Ilion, NY 13357-1701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randi Schrader | Nurse Practitioner | New York General Medical Services PC | 99 Th 6th Ave, Ilion, NY 13357-1527 |
| Brittie A Wintle | Nurse Practitioner | New York General Medical Services PC | 99 Th 6th Ave, Ilion, NY 13357-1527 |
| John M Mckennan | Diagnostic Radiology | 284 W Main St, Ilion, NY 13357-1531 | |
| Dawn E Evans | Physical Therapy | Seco Physical and Occupational Therapy Pllc | 33 Central Plz, Ilion, NY 13357-1701 |
| Timothy R Woolner | Optometry | 23 Central Plaza, Ilion, NY 13357-1701 | |
| Ivan Antonevich | Pain Management | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Erin Margaret Krupski | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Catrina M Mckissick | Physical Therapy | Seco Physical and Occupational Therapy Pllc | 33 Central Plz, Ilion, NY 13357-1701 |
| Debra L Iselo | Nurse Practitioner | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Christopher P Powers | Podiatry | Slocum Dickson Medical Group Pllc | 55 Central Plz, Ilion, NY 13357-1701 |
| Find all physicians in zip 13357 | |||
| City | ILION |
| Zip Code | 13357 |
| Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | ILION + QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Nicole J Nicolette Walz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.