Individual ProviderGladys Pietri-MccormackCounselorBehavioral Health & Social Service ProvidersPractice Address269 Kell Ave, Staten Island, NY 10314-4113(718) 494-2526PECOS EnrollmentBased on the most recent information from CMS, provider Gladys Pietri-Mccormack 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 ID1548404650Provider TypeIndividualFull NamePietri-Mccormack, GladysTitleMrs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date4/21/2009Last Updated5/3/2012Contact InformationPractice LocationPractice Address269 Kell Ave, Staten Island, NY 10314-4113Phone(718) 494-2526FaxUnlisted FaxMailing LocationMailing Address269 Kell Ave, Staten Island, NY 10314-4113Phone(718) 494-2526FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense046207-1New YorkCode101YS0200XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense046207-1New York