Jennifer Lynn Gomes-Splan | Staten Island, NY • PECOS Search

Jennifer Lynn Gomes-Splan

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

176 Utter Ave, Staten Island, NY 10314-3039

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Lynn Gomes-Splan 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
1083926455
Provider Type
Individual
Full Name
Gomes-Splan, Jennifer Lynn
Title
Mrs.
Credential
JENNIFER SPLAN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/13/2010
Last Updated
7/13/2010

Contact Information

Practice Location

176 Utter Ave, Staten Island, NY 10314-3039

Unlisted Fax

Mailing Location

176 Utter Ave, Staten Island, NY 10314-3039

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 012027-1 New York