Individual ProviderMaryann HannaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1000 S Ave, Suite Ll2, Staten Island, NY 10314(718) 810-1236PECOS EnrollmentBased on the most recent information from CMS, provider Maryann Hanna 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 ID1376781666Provider TypeIndividualFull NameHanna, MaryannTitleMs.CredentialM.A. CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date1/26/2009Last Updated1/26/2009Contact InformationPractice LocationPractice Address1000 S Ave, Suite Ll2, Staten Island, NY 10314Phone(718) 810-1236FaxUnlisted FaxMailing LocationMailing Address1225 Arden Avenue, Staten Island, NY 10312PhoneUnlisted PhoneFax(718) 966-1199Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense017784New York