Adrienne D Lee | Staten Island, NY • PECOS Search

Adrienne D Lee

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

170 Garrison Ave, Staten Island, NY 10314-2233

(917) 270-2423 (718) 447-0393

PECOS Enrollment

Based on the most recent information from CMS, provider Adrienne D Lee 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 2 days ago.

Profile Details

Provider ID
1225278179
Provider Type
Individual
Full Name
Lee, Adrienne D
Title
Ms.
Credential
M.S.CCC/SLP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/4/2009
Last Updated
1/26/2017

Contact Information

Practice Location

170 Garrison Ave, Staten Island, NY 10314-2233

Unlisted Fax

Mailing Location

170 Garrison Avenue, Staten Island, NY 10314

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 010790 New York