Jennifer L Song (NPI# 1093818486, PAC ID# 2567720576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1093818486 |
| PAC ID by PECOS | 2567720576 |
| Professional Enrollment ID | I20171221000657 |
| Full Name | Jennifer L Song |
| Organization Legal Name | FINGER LAKES UNITED CEREBRAL PALSY, INC. |
| Address |
5415 County Rd Suite 30 Canandaigua NY 14424-7964 |
| Phone Number | 5853949510 |
| Gender | F |
| Medical School | TEMPLE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 0446309660 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 | 5853949510 | FINGER LAKES UNITED CEREBRAL PALSY, INC. |
| Organization Legal Name | FINGER LAKES UNITED CEREBRAL PALSY, INC. |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Gagliardi | Physical Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 N Bloomfield Rd, Canandaigua, NY 14424-7964 |
| Megan B Taggart | Occupational Therapy | Finger Lakes United Cerebral Palsy, Inc. | 2975 County Rd, Suite 48, Canandaigua, NY 14424-9553 |
| Alison D Daurizio | Physical Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Danielle A Lyon | Physical Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Elizabeth M Honadle | Qualified Speech Language Pathologist | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Stephanie M Achilles | Psychiatry | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Whitney J Pisano | Occupational Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Kaila M Turner | Qualified Speech Language Pathologist | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Ashley Avery | Qualified Speech Language Pathologist | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Cynthia G Chaffee | Physical Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Street Address |
5415 COUNTY RD SUITE 30 |
| City | CANANDAIGUA |
| State | NY |
| Zip | 14424-7964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alison D Daurizio | Physical Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Danielle A Lyon | Physical Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Elizabeth M Honadle | Qualified Speech Language Pathologist | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Stephanie M Achilles | Psychiatry | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Whitney J Pisano | Occupational Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Kaila M Turner | Qualified Speech Language Pathologist | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Ashley Avery | Qualified Speech Language Pathologist | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Cynthia G Chaffee | Physical Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Danielle M Odonnell | Occupational Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Sara Kidder | Physical Therapy | Finger Lakes United Cerebral Palsy, Inc. | 5415 County Rd, Suite 30, Canandaigua, NY 14424-7964 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Paul Carlino | Clinical Social Worker | 42 Nth Main St, Canandaigua, NY 14424 | |
| Thomas J Durham | Clinical Social Worker | 18 Douglas Dr, Canandaigua, NY 14424-1018 | |
| Theresa Beach | Clinical Social Worker | 527 N Main St, Canandaigua, NY 14424-1021 | |
| Robert C Kaminski | Clinical Social Worker | 527 N Main St, Canandaigua, NY 14424-1021 | |
| Phillip Geoffrey Cary | Maxillofacial Surgery | 500 N Main St, Canandaigua, NY 14424-1022 | |
| Michael B Priestman | Chiropractic | 11 N St, Suite 300, Canandaigua, NY 14424-1047 | |
| Leigh G Lafferty | Nurse Practitioner | Frederick Ferris Thompson Hospital | 23 N St, Suite 5, Canandaigua, NY 14424-1053 |
| Robert L Smith | Family Medicine | Frederick Ferris Thompson Hospital | 23 N St, Suite 5, Canandaigua, NY 14424-1053 |
| Erin Mahoney | Nurse Practitioner | Frederick Ferris Thompson Hospital | 23 N St, Suite 5, Canandaigua, NY 14424-1053 |
| Ryan P Rademacker | Chiropractic | 23 N St, Suite 7, Canandaigua, NY 14424-1053 | |
| Find all physicians in zip 14424 | |||
| City | CANANDAIGUA |
| Zip Code | 14424 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | CANANDAIGUA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jennifer L Song.
| 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.