Individual ProviderKristina SansoneSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1060 Willowbrook Road, Ps 54 Charles W. Leng, Staten Island, NY 10314(718) 698-0600PECOS EnrollmentBased on the most recent information from CMS, provider Kristina Sansone does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1003196007Provider TypeIndividualFull NameSansone, KristinaTitleMs.CredentialMAGenderFemaleSole ProprietorNoEnumeration Date8/22/2011Last Updated12/22/2016Contact InformationPractice LocationPractice Address1060 Willowbrook Road, Ps 54 Charles W. Leng, Staten Island, NY 10314Phone(718) 698-0600Fax(718) 698-1736Mailing LocationMailing Address1060 Willowbrook Road, Ps 54 Charles W. Leng, Staten Island, NY 10314Phone(718) 698-0600Fax(718) 698-1736Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted IssuerNew York