National Provider Identifier
Pamela Konstantina Petrushesky, SLP
Pamela Konstantina Petrushesky, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in East Pembroke, NY and a listed phone number of (585) 599-4525.
Profile Overview
- NPI
- 1275810327
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- November 03, 2011
- Last Updated
- November 03, 2011
Practice Location
- 2486 Main RD
- East Pembroke, NY 14056
Phone: (585) 599-4525
Mailing Address
- 34 Running Brook Dr
- Lancaster, NY 14086-3309
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1275810327
- Entity Type
- Individual
- Last Name
- Petrushesky
- First Name
- Pamela
- Middle Name
- Konstantina
- Name Prefix
- Mrs.
- Credential
- SLP
- Mailing Street Address
- 34 Running Brook Dr
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-3309
- Mailing Country
- US
- Mailing Phone
- (716) 668-5756
- Practice Street Address
- 2486 Main RD
- Practice City
- East Pembroke
- Practice State
- NY
- Practice ZIP Code
- 14056
- Practice Country
- US
- Practice Phone
- (585) 599-4525
- Enumeration Date
- November 03, 2011
- Last Updated
- November 03, 2011
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)