Lisa K Berg Anderson (NPI# 1104952837, PAC ID# 6103965488) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is QUALIFIED SPEECH LANGUAGE PATHOLOGIST.
| Nation Provider ID (NPI) | 1104952837 |
| PAC ID by PECOS | 6103965488 |
| Professional Enrollment ID | I20091125000617 |
| Full Name | Lisa K Berg Anderson |
| Organization Legal Name | EPIC LONG ISLAND |
| Address |
200 Wilson St Port Jefferson Station NY 11776-1100 |
| Phone Number | 5167397733 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| Group Practice PAC ID | 7315835907 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 Wilson St, Port Jefferson Station, NY 11776-1100 | 5167397733 | EPIC LONG ISLAND |
| 51 Terryville Rd, Port Jefferson Station, NY 11776-1331 | 5167397733 | EPIC LONG ISLAND |
| Organization Legal Name | EPIC LONG ISLAND |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alena M Debrosse | Nurse Practitioner | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Jacqueline A Oloughlin | Qualified Speech Language Pathologist | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Jimmy Chen | Psychiatry | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Maria L Cardona | Clinical Social Worker | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Audrey L Gulian | Physical Therapy | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Jennifer Greer Colbert | Clinical Social Worker | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Nancy S Shapiro | Occupational Therapy | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Lisa Volpe-smith | Qualified Speech Language Pathologist | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Flavia Badillo | Psychologist, Clinical | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Irene Gregov | Physical Therapy | Epic Long Island | 1500 Hempstead Tpke, East Meadow, NY 11554-1551 |
| Street Address |
200 WILSON ST |
| City | PORT JEFFERSON STATION |
| State | NY |
| Zip | 11776-1100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varghese P Cherian | Diagnostic Radiology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Todd Hoffman | Physical Therapy | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Rocco F Caruso | Hematology/oncology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Alfredo Enrique Torres | Hematology/oncology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Diane Clausen | Hospice/palliative Care | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Lauren Mcgarty | Registered Dietitian Or Nutrition Professional | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Jared M Dunkin | Diagnostic Radiology | North Shore Hematology Oncology Associates PC | 49 Nesconset Hwy, Port Jefferson Station, NY 11776 |
| Patricia Walsh Perez | Certified Clinical Nurse Specialist (cns) | 55 Nesconset Hwy, Suite 3, Port Jefferson Station, NY 11776 | |
| Lynnann S Obray-donohue | Qualified Audiologist | 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776 | |
| Antoun Saba Mitromaras | General Practice | 509 Patchogue Rd, Port Jefferson Station, NY 11776-1006 | |
| Find all physicians in zip 11776 | |||
| City | PORT JEFFERSON STATION |
| Zip Code | 11776 |
| Specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
| City + Specialty | PORT JEFFERSON STATION + QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
Please comment or provide details below to improve the information on Lisa K Berg Anderson.
| 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.