Individual ProviderAmanda BoglioSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address6a Garden St, Staten Island, NY 10314-4010(718) 825-5018PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Boglio 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 2 days ago.Profile DetailsProvider ID1114543824Provider TypeIndividualFull NameBoglio, AmandaCredentialM.S.CCC-SLPGenderFemaleSole ProprietorYesEnumeration Date6/18/2020Last Updated6/18/2020Contact InformationPractice LocationPractice Address6a Garden St, Staten Island, NY 10314-4010Phone(718) 825-5018FaxUnlisted FaxMailing LocationMailing Address6a Garden St, Staten Island, NY 10314-4010Phone(718) 825-5018FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense02974401New York