Individual ProviderAlyssa ButtaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address590 Fulton St, Brooklyn, NY 11217-4720(347) 670-1382(347) 837-7238PECOS EnrollmentBased on the most recent information from CMS, provider Alyssa Butta 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 6 days ago.Profile DetailsProvider ID1235845157Provider TypeIndividualFull NameButta, AlyssaGenderFemaleSole ProprietorNoEnumeration Date1/24/2023Last Updated2/24/2024Contact InformationPractice LocationPractice Address590 Fulton St, Brooklyn, NY 11217-4720Phone(347) 670-1382FaxUnlisted FaxMailing LocationMailing Address1813 E 38th St, Brooklyn, NY 11234-4413Phone(347) 837-7238FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense034087New York