Individual ProviderJacqueline MalloySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address460 W.34th Street, New York, NY 10001(212) 273-6100PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Malloy 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 ID1407289689Provider TypeIndividualFull NameMalloy, JacquelineGenderFemaleSole ProprietorYesEnumeration Date8/12/2013Last Updated3/4/2020Contact InformationPractice LocationPractice Address460 W.34th Street, New York, NY 10001Phone(212) 273-6100FaxUnlisted FaxMailing LocationMailing Address460 W.34th Street, New York, NY 10001Phone(212) 273-6100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer