Individual ProviderLisa SalvatoreSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address101 Lafayette Ave, Apt 2i, Brooklyn, NY 11217(773) 934-6166PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Salvatore 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 ID1275843930Provider TypeIndividualFull NameSalvatore, LisaGenderFemaleSole ProprietorYesEnumeration Date10/15/2010Last Updated11/4/2010Contact InformationPractice LocationPractice Address101 Lafayette Ave, Apt 2i, Brooklyn, NY 11217Phone(773) 934-6166FaxUnlisted FaxMailing LocationMailing Address101 Lafayette Ave, Apt 2i, Brooklyn, NY 11217PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense020531New York