Elisheva Kierman | Staten Island, NY • PECOS Search

Elisheva Kierman

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

260 Woodward Ave, Staten Island, NY 10314-4237

PECOS Enrollment

Based on the most recent information from CMS, provider Elisheva Kierman 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
1477008308
Provider Type
Individual
Full Name
Kierman, Elisheva
Title
Mrs.
Credential
MS CCC SLP TSHH

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/21/2016
Last Updated
8/21/2016

Contact Information

Practice Location

260 Woodward Ave, Staten Island, NY 10314-4237

Unlisted Fax

Mailing Location

260 Woodward Ave, Staten Island, NY 10314-4237

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 15001 Oregon