Dawn Elizabeth Neenan | Staten Island, NY • PECOS Search

Dawn Elizabeth Neenan

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1110 South Ave Ste 405, Staten Island, NY 10314-3411

PECOS Enrollment

Based on the most recent information from CMS, provider Dawn Elizabeth Neenan does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1033617436
Provider Type
Individual
Full Name
Neenan, Dawn Elizabeth
Credential
MS, CCC-SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
1/31/2018
Last Updated
1/31/2018

Contact Information

Practice Location

1110 South Ave Ste 405, Staten Island, NY 10314-3411

Unlisted Fax

Mailing Location

PO Box 140327, Staten Island, NY 10314-0327

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 027118-1 New York