Paige Allegra Blayne | New York, NY • PECOS Search

Paige Allegra Blayne

Counselor

Behavioral Health & Social Service Providers

1115 Broadway Fl 10, New York, NY 10010-3454

(646) 397-5255 (917) 562-9653

PECOS Enrollment

Based on the most recent information from CMS, provider Paige Allegra Blayne 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 today at 9:42 AM.

Profile Details

Provider ID
1275316135
Provider Type
Individual
Full Name
Blayne, Paige Allegra
Title
Miss

Gender
Female
Sole Proprietor
No
Enumeration Date
8/15/2023
Last Updated
8/15/2023

Contact Information

Practice Location

1115 Broadway Fl 10, New York, NY 10010-3454

Unlisted Fax

Mailing Location

522 Spruce Ln, East Meadow, NY 11554-3745

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer