Individual ProviderJacqueline ValentineSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address460 W 34th St Fl 11, New York, NY 10001-2320(212) 273-6380PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Valentine 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 4 days ago.Profile DetailsProvider ID1306376868Provider TypeIndividualFull NameValentine, JacquelineGenderFemaleSole ProprietorNoEnumeration Date6/18/2017Last Updated6/18/2017Contact InformationPractice LocationPractice Address460 W 34th St Fl 11, New York, NY 10001-2320Phone(212) 273-6380Fax(212) 273-6380Mailing LocationMailing Address36 Cedar Shore Dr, Massapequa, NY 11758-7317PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer