Individual ProviderJane PeckCounselorBehavioral Health & Social Service ProvidersPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612(917) 781-0041(929) 260-1363PECOS EnrollmentBased on the most recent information from CMS, provider Jane Peck 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 yesterday at 1:08 PM.Profile DetailsProvider ID1477107597Provider TypeIndividualFull NamePeck, JaneGenderFemaleSole ProprietorNoEnumeration Date7/26/2019Last Updated1/24/2025Contact InformationPractice LocationPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612Phone(917) 781-0041FaxUnlisted FaxMailing LocationMailing Address184 Gurley Ave, Staten Island, NY 10308-1505Phone(929) 260-1363FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer