Stefanie Ann Scudera | Staten Island, NY • PECOS Search

Stefanie Ann Scudera

Counselor

Behavioral Health & Social Service Providers

1110 South Ave, Suite 5, Staten Island, NY 10314-3403

PECOS Enrollment

Based on the most recent information from CMS, provider Stefanie Ann Scudera 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
1134461981
Provider Type
Individual
Full Name
Scudera, Stefanie Ann
Title
Miss
Credential
LMHC, NCC

Gender
Female
Sole Proprietor
No
Enumeration Date
3/20/2013
Last Updated
3/20/2013

Contact Information

Practice Location

1110 South Ave, Suite 5, Staten Island, NY 10314-3403

Unlisted Fax

Mailing Location

1110 South Ave, Suite 5, Staten Island, NY 10314-3403

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 004740-1 New York