Individual ProviderElissa DeckerSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address116 W 32nd St Fl 8, New York, NY 10001-3212(212) 564-2350PECOS EnrollmentBased on the most recent information from CMS, provider Elissa Decker 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 34 days ago.Profile DetailsProvider ID1023548195Provider TypeIndividualFull NameDecker, ElissaCredentialSPEECH-LANGUAGE PATHGenderFemaleSole ProprietorNoEnumeration Date6/12/2017Last Updated10/16/2025Contact InformationPractice LocationPractice Address116 W 32nd St Fl 8, New York, NY 10001-3212Phone(212) 564-2350FaxUnlisted FaxMailing LocationMailing Address840 Shore Road, Apt 1j, Long Beach, NY 11561PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense027647New YorkCode174400000XDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID05144918DescriptionMedicaidIssuerUnlistedNew York