Individual ProviderMichelle ConnollySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address116 W 32nd St, 8th Floor, New York, NY 10001-3212(212) 564-2350(646) 450-6424PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Connolly 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 4 days ago.Profile DetailsProvider ID1205128329Provider TypeIndividualFull NameConnolly, MichelleCredentialM.S., S.L.P.GenderFemaleSole ProprietorNoEnumeration Date5/8/2011Last Updated5/8/2011Contact InformationPractice LocationPractice Address116 W 32nd St, 8th Floor, New York, NY 10001-3212Phone(212) 564-2350Fax(212) 564-5896Mailing LocationMailing Address119 E 96th St, Apt 22, New York, NY 10128-2521Phone(646) 450-6424FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense020947New York