Individual ProviderSamantha Marie IraceSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address5 Brandon, Commack, NY 11725-1944(631) 766-8122PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Marie Irace 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 3 days ago.Profile DetailsProvider ID1275202947Provider TypeIndividualFull NameIrace, Samantha MarieCredentialM.S., CF-SLP, TSSLDGenderFemaleSole ProprietorNoEnumeration Date9/7/2021Last Updated9/7/2021Contact InformationPractice LocationPractice Address5 Brandon, Commack, NY 11725-1944Phone(631) 766-8122FaxUnlisted FaxMailing LocationMailing Address5 Brandon, Commack, NY 11725-1944PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer