Tara Bayer | Staten Island, NY • PECOS Search

Tara Bayer

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

40 Merrill Ave, Staten Island, NY 10314-3312

(718) 370-7529 (718) 668-0512

PECOS Enrollment

Based on the most recent information from CMS, provider Tara Bayer 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 2 days ago.

Profile Details

Provider ID
1437468980
Provider Type
Individual
Full Name
Bayer, Tara
Title
Ms.
Credential
M.A. CCC/SLP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/1/2010
Last Updated
10/1/2010

Contact Information

Practice Location

40 Merrill Ave, Staten Island, NY 10314-3312

Unlisted Fax

Mailing Location

126 Justin Ave, Staten Island, NY 10306-3709

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 008477 New York