Christina Hagedorn | Staten Island, NY • PECOS Search

Christina Hagedorn

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1800 Victory Blvd, Staten Island, NY 10314-3570

(718) 982-3681 (631) 566-6843

PECOS Enrollment

Based on the most recent information from CMS, provider Christina Hagedorn 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
1033674684
Provider Type
Individual
Full Name
Hagedorn, Christina
Title
Dr.
Credential
PHD, CCC-SLP, TSSLD

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/7/2019
Last Updated
2/7/2019

Contact Information

Practice Location

1800 Victory Blvd, Staten Island, NY 10314-3570

Unlisted Fax

Mailing Location

14 Orleans Ct, Commack, NY 11725-4030

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 028112-1 New York