Individual ProviderVictoria TerelleSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1847 Victory Blvd Lowr Level, Staten Island, NY 10314-3550(917) 650-7418PECOS EnrollmentBased on the most recent information from CMS, provider Victoria Terelle 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 2 days ago.Profile DetailsProvider ID1578007951Provider TypeIndividualFull NameTerelle, VictoriaGenderFemaleSole ProprietorYesEnumeration Date12/5/2016Last Updated10/20/2023Contact InformationPractice LocationPractice Address1847 Victory Blvd Lowr Level, Staten Island, NY 10314-3550Phone(917) 650-7418FaxUnlisted FaxMailing LocationMailing Address1847 Victory Blvd Lowr Level, Staten Island, NY 10314-3550Phone(917) 650-7418FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense024706New York