Evelina Wisniewska | Staten Island, NY • PECOS Search

Evelina Wisniewska

Counselor

Behavioral Health & Social Service Providers

1130 South Ave, Staten Island, NY 10314-3410

PECOS Enrollment

Based on the most recent information from CMS, provider Evelina Wisniewska 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 yesterday at 1:08 PM.

Profile Details

Provider ID
1114641206
Provider Type
Individual
Full Name
Wisniewska, Evelina
Credential
LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
10/3/2022
Last Updated
1/23/2025

Contact Information

Practice Location

1130 South Ave, Staten Island, NY 10314-3410

Unlisted Fax

Mailing Location

1130 South Ave, Staten Island, NY 10314-3410

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 014100 New York