Individual ProviderPaige D BenningtonSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address661 Sackett St, Apt 2l, Brooklyn, NY 11217-3131(914) 274-0880PECOS EnrollmentBased on the most recent information from CMS, provider Paige D Bennington 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 6 days ago.Profile DetailsProvider ID1528307105Provider TypeIndividualFull NameBennington, Paige DTitleMrs.CredentialM.S.GenderFemaleSole ProprietorYesEnumeration Date2/2/2013Last Updated5/21/2020Contact InformationPractice LocationPractice Address661 Sackett St, Apt 2l, Brooklyn, NY 11217-3131Phone(914) 274-0880FaxUnlisted FaxMailing LocationMailing Address661 Sackett St, Apt 2l, Brooklyn, NY 11217-3131Phone(914) 274-0880FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense023477New York