MEDICARE: MARISSA SHEEHAN M.S., CCC-SLP, TSSLD

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	024624-1	NY

General Provider Information

NPI Number	:	1649629122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISSA SHEEHAN M.S., CCC-SLP, TSSLD

Provider Business Mailing Address
First Line	:	2805 33RD ST
Second Line	:	APT. 5D
City	:	ASTORIA
State	:	NY
Zip	:	11102-1345
Country	:	US
Telephone Number	:	516-383-2192
Fax Number	:

Provider Business Practice Location Address
First Line	:	2805 33RD ST
Second Line	:	APT. 5D
City	:	ASTORIA
State	:	NY
Zip	:	11102-1345
Country	:	US
Telephone Number	:	516-383-2192
Fax Number	:

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

Provider Enumeration Date	:	06/06/2016
Last Update Date	:	06/06/2016

Similar Medicare Providers

1548900491 — KINA ZHOU MD
Practice Location Address:

2510 30TH AVE
ASTORIA, NY
11102-2448

Practice Phone: 212-987-3100
Practice Fax:

1205451481 — RACHAEL JANET MURPHY MD
Practice Location Address:

3207 30TH AVE FL 2
ASTORIA, NY
11102-1563

Practice Phone: 347-770-0032
Practice Fax:

1649276643 — DR. CORY BAKER M.D.
Practice Location Address:

25-10 30TH AVENUE
ASTORIA, NY
11102

Practice Phone: 212-987-3100
Practice Fax:

1376540021 — DR. THOMAS K BARLIS DPM
Practice Location Address:

2747 CRESCENT ST , SUITE 204
ASTORIA, NY
11102-3142

Practice Phone: 718-956-0700
Practice Fax: 718-956-4582

1013915222 — NEWTOWN DIALYSIS CENTER, INC
Practice Location Address:

2920 NEWTOWN AVE
ASTORIA, NY
11102-2129

Practice Phone: 718-728-2222
Practice Fax: 718-932-1236

1407855075 — CONSTANTINE KOSMAS M.D.
Practice Location Address:

30-16 30TH DRIVE
ASTORIA, NY
11102

Practice Phone: 718-545-2250
Practice Fax: 718-545-2252

Directions to “ MARISSA SHEEHAN M.S., CCC-SLP, TSSLD” 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.