MEDICARE: MS. ILENE REYNOLDS SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2572	NY

General Provider Information

NPI Number	:	1104971340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ILENE REYNOLDS SLP

Provider Business Mailing Address
First Line	:	180 ANCHORAGE DR
Second Line	:
City	:	WEST ISLIP
State	:	NY
Zip	:	11795-5010
Country	:	US
Telephone Number	:	631-422-5462
Fax Number	:	631-422-3111

Provider Business Practice Location Address
First Line	:	180 ANCHORAGE DR
Second Line	:
City	:	WEST ISLIP
State	:	NY
Zip	:	11795-5010
Country	:	US
Telephone Number	:	631-422-5462
Fax Number	:	631-422-3111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1659820850 — MS. ASHLEIGH BIFOLCO M.S., CCC-SLP
Practice Location Address:

196 ANCHORAGE DR
WEST ISLIP, NY
11795-5010

Practice Phone: 631-275-5103
Practice Fax:

1609801828 — MANOR CARE OF WEST DES MOINES IA LLC
Practice Location Address:

5010 GRAND RIDGE DR
WEST DES MOINES, IA
50265-5754

Practice Phone: 515-222-5991
Practice Fax:

1811062441 — DR. CORY M THIELE D.C.
Practice Location Address:

5010 MILLS CIVIC PKWY STE 102
WEST DES MOINES, IA
50265-5267

Practice Phone: 515-777-9771
Practice Fax:

1437279916 — MRS. KRISTIN MARIE ITURBIDES MS CCC-SLP
Practice Location Address:

17 FAIRMOUNT TER
WEST ORANGE, NJ
07052-5010

Practice Phone: 973-769-4399
Practice Fax:

1881815223 — DR. DEMETRIOS BAYIOKOS D.M.D.
Practice Location Address:

415 WEST ST
FORT LEE, NJ
07024-5010

Practice Phone: 201-944-8305
Practice Fax: 201-944-9491

Directions to “ MS. ILENE REYNOLDS SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.