Individual ProviderMiriam LowenthalSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address258 Sheraden Ave, Staten Island, NY 10314-4310(718) 983-1896PECOS EnrollmentBased on the most recent information from CMS, provider Miriam Lowenthal 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 2 days ago.Profile DetailsProvider ID1306080171Provider TypeIndividualFull NameLowenthal, MiriamGenderFemaleSole ProprietorYesEnumeration Date4/23/2009Last Updated4/23/2009Contact InformationPractice LocationPractice Address258 Sheraden Ave, Staten Island, NY 10314-4310Phone(718) 983-1896FaxUnlisted FaxMailing LocationMailing Address258 Sheraden Ave, Staten Island, NY 10314-4310Phone(718) 983-1896FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense007468-1New York