Provider Demographics
NPI:1659625721
Name:BILKO, SHEILA M (MS,CCC,LSP)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:M
Last Name:BILKO
Suffix:
Gender:F
Credentials:MS,CCC,LSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-1625
Mailing Address - Country:US
Mailing Address - Phone:516-676-5423
Mailing Address - Fax:516-676-5423
Practice Address - Street 1:9 WALNUT ST
Practice Address - Street 2:
Practice Address - City:GLEN HEAD
Practice Address - State:NY
Practice Address - Zip Code:11545-1625
Practice Address - Country:US
Practice Address - Phone:516-676-5423
Practice Address - Fax:516-676-5423
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-29
Last Update Date:2012-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004386-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist