Individual ProviderMariam SalamiCounselorBehavioral Health & Social Service ProvidersPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612(917) 781-0041PECOS EnrollmentBased on the most recent information from CMS, provider Mariam Salami 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 yesterday at 1:08 PM.Profile DetailsProvider ID1033921036Provider TypeIndividualFull NameSalami, MariamCredentialMHC-LPGenderFemaleSole ProprietorNoEnumeration Date1/25/2025Last Updated1/25/2025Contact InformationPractice LocationPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612Phone(917) 781-0041FaxUnlisted FaxMailing LocationMailing Address14411 181st Pl, Springfield Gardens, NY 11413-3216PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseP133629New York