Individual ProviderCarolyn Brestlin-KlineSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address100 Wade St, Staten Island, NY 10314-2101(917) 699-4169PECOS EnrollmentBased on the most recent information from CMS, provider Carolyn Brestlin-Kline 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 ID1215179098Provider TypeIndividualFull NameBrestlin-Kline, CarolynCredentialCCC/SLPGenderFemaleSole ProprietorYesEnumeration Date3/25/2009Last Updated10/9/2019Contact InformationPractice LocationPractice Address100 Wade St, Staten Island, NY 10314-2101Phone(917) 699-4169FaxUnlisted FaxMailing LocationMailing Address100 Wade St, Staten Island, NY 10314-2101Phone(917) 699-4169FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense0107181New York