Individual ProviderMariann Rose PelloCounselorBehavioral Health & Social Service ProvidersPractice Address1480 Forest Hill Rd, Staten Island, NY 10314-6318(718) 698-2351PECOS EnrollmentBased on the most recent information from CMS, provider Mariann Rose Pello 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 ID1093098543Provider TypeIndividualFull NamePello, Mariann RoseTitleDr.CredentialPH.D.GenderFemaleSole ProprietorYesEnumeration Date9/21/2011Last Updated9/21/2011Contact InformationPractice LocationPractice Address1480 Forest Hill Rd, Staten Island, NY 10314-6318Phone(718) 698-2351Fax(718) 982-9044Mailing LocationMailing Address1480 Forest Hill Rd, Staten Island, NY 10314-6318Phone(718) 698-2351Fax(718) 982-9044Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseR 042989-1New York