Individual ProviderMichele BrancoliniSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address248 W 35th St, New York, NY 10001-2505(212) 453-0036PECOS EnrollmentBased on the most recent information from CMS, provider Michele Brancolini 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 today at 11:52 AM.Profile DetailsProvider ID1578945523Provider TypeIndividualFull NameBrancolini, MicheleTitleMrs.CredentialCCC-SLPGenderFemaleSole ProprietorYesEnumeration Date6/26/2015Last Updated6/26/2015Contact InformationPractice LocationPractice Address248 W 35th St, New York, NY 10001-2505Phone(212) 453-0036FaxUnlisted FaxMailing LocationMailing Address248 W 35th St, New York, NY 10001-2505Phone(212) 453-0036FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense024251-1New York