Individual ProviderWid Al BayatySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address352 7th Ave, Suite 305, New York, NY 10001-501212124306801917291686PECOS EnrollmentBased on the most recent information from CMS, provider Wid Al Bayaty 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 ID1447537428Provider TypeIndividualFull NameAl Bayaty, WidTitleMs.CredentialMSCGenderFemaleSole ProprietorNoEnumeration Date11/4/2011Last Updated11/4/2011Contact InformationPractice LocationPractice Address352 7th Ave, Suite 305, New York, NY 10001-5012Phone1212430680FaxUnlisted FaxMailing LocationMailing Address400 West 55th Street, Apt 5g, New York, NY 10019-4539Phone1917291686FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseCLINICAL FELLOW