Marlene Theresa Moore | New York, NY • PECOS Search

Marlene Theresa Moore

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

248 W 35th St, Ground Floor, New York, NY 10001-2505

(212) 453-0036 (212) 544-7723

PECOS Enrollment

Based on the most recent information from CMS, provider Marlene Theresa Moore 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 10 days ago.

Profile Details

Provider ID
1497146153
Provider Type
Individual
Full Name
Moore, Marlene Theresa
Credential
M.A. CF-SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
2/16/2015
Last Updated
2/16/2015

Contact Information

Practice Location

248 W 35th St, Ground Floor, New York, NY 10001-2505

(212) 453-0037

Mailing Location

57 Park Ter W, W1a, New York, NY 10034-1327

Unlisted Fax

Provider Taxonomies

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