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NPI Code Detail

MEDICARE: MELISSA SLESINSKI MA, CCC-SLP

MEDICARE: MELISSA SLESINSKI MA, CCC-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
1235Z00000XSpeech-Language Pathologist036459NY

General Provider Information

NPI Number : 1356132922
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA SLESINSKI MA, CCC-SLP
Provider Business Mailing Address
First Line : 624 HAWKINS AVE
Second Line :
City : LAKE RONKONKOMA
State : NY
Zip : 11779-2375
Country : US
Telephone Number : 631-240-3579
Fax Number :
Provider Business Practice Location Address
First Line : 624 HAWKINS AVE
Second Line :
City : LAKE RONKONKOMA
State : NY
Zip : 11779-2375
Country : US
Telephone Number : 631-240-3579
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2025
Last Update Date : 03/03/2026

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