Cassandra Marie Mariano | Staten Island, NY • PECOS Search

Cassandra Marie Mariano

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1000 South Ave, Suite Ll2, Staten Island, NY 10314-3430

(718) 477-0961 (718) 980-4586

PECOS Enrollment

Based on the most recent information from CMS, provider Cassandra Marie Mariano 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
1508011628
Provider Type
Individual
Full Name
Mariano, Cassandra Marie
Title
Mrs.
Credential
M.A., CCC-SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/18/2008
Last Updated
11/18/2008

Contact Information

Practice Location

1000 South Ave, Suite Ll2, Staten Island, NY 10314-3430

Unlisted Fax

Mailing Location

3406 Richmond Rd, Staten Island, NY 10306-1451

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 017081 New York