Individual ProviderAlyssa FishmanCounselorBehavioral Health & Social Service ProvidersPractice Address4 Boone St, Staten Island, NY 10314-5004(347) 446-5870PECOS EnrollmentBased on the most recent information from CMS, provider Alyssa Fishman 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 ID1194186726Provider TypeIndividualFull NameFishman, AlyssaGenderFemaleSole ProprietorYesEnumeration Date3/9/2016Last Updated3/9/2016Contact InformationPractice LocationPractice Address4 Boone St, Staten Island, NY 10314-5004Phone(347) 446-5870FaxUnlisted FaxMailing LocationMailing Address4 Boone St, Staten Island, NY 10314-5004Phone(347) 446-5870FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense006929-1New York