Heather Lynn Boerner | New York, NY • PECOS Search

Heather Lynn Boerner

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

116 W 32nd St, 8th Fl, New York, NY 10001-3212

(212) 564-2350 (917) 776-1585

PECOS Enrollment

Based on the most recent information from CMS, provider Heather Lynn Boerner 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 3 days ago.

Profile Details

Provider ID
1356596621
Provider Type
Individual
Full Name
Boerner, Heather Lynn
Title
Mrs.
Credential
M.A., CCC/SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/29/2008
Last Updated
11/29/2008

Contact Information

Practice Location

116 W 32nd St, 8th Fl, New York, NY 10001-3212

Unlisted Fax

Mailing Location

307 6th St, Apt 3, Brooklyn, NY 11215-3205

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 0152621 New York