MEDICARE: GROMKO VOICE PLLC

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	225XH1200X	Hand Occupational Therapist
2	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1003571837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GROMKO VOICE PLLC

Provider Business Mailing Address
First Line	:	123 YORK ST STE 1C
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-5660
Country	:	US
Telephone Number	:	203-868-0767
Fax Number	:	203-290-1895

Provider Business Practice Location Address
First Line	:	123 YORK ST STE 1C
Second Line	:
City	:	NEW HAVEN
State	:	CT
Zip	:	06511-5660
Country	:	US
Telephone Number	:	203-868-0767
Fax Number	:	203-290-1895

Authorized Official
Title or Position	:	OWNER
Name	:	SARAH A GROMKO
Credential	:	M.S., CCC-SLP
Telephone Number	:	203-868-0767

Provider Enumeration Date	:	11/06/2021
Last Update Date	:	05/17/2026

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