Individual ProviderLee McanaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1911 Richmond Ave, Staten Island, NY 10314-3913(718) 851-3300(732) 738-9609PECOS EnrollmentBased on the most recent information from CMS, provider Lee Mcana 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 ID1336784297Provider TypeIndividualFull NameMcana, LeeGenderFemaleSole ProprietorYesEnumeration Date11/14/2019Last Updated11/14/2019Contact InformationPractice LocationPractice Address1911 Richmond Ave, Staten Island, NY 10314-3913Phone(718) 851-3300FaxUnlisted FaxMailing LocationMailing Address624 Marcy Ave, Staten Island, NY 10309-2422Phone(732) 738-9609FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense027499-1New York