Individual ProviderSamantha WalkerSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1415 Richmond Ave, Staten Island, NY 10314-1553(877) 407-3422PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Walker 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 ID1427655679Provider TypeIndividualFull NameWalker, SamanthaGenderFemaleSole ProprietorNoEnumeration Date10/1/2020Last Updated10/1/2020Contact InformationPractice LocationPractice Address1415 Richmond Ave, Staten Island, NY 10314-1553Phone(877) 407-3422Fax(877) 407-4329Mailing LocationMailing Address7 Carnegie Plz, Cherry Hill, NJ 08003-1000Phone(877) 407-3422Fax(877) 407-4329Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense030153New York