Carlyn Burris | New York, NY • PECOS Search

Carlyn Burris

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

116 W 32nd St, Floor 8, New York, NY 10001-3212

(212) 564-2350 (314) 630-6130

PECOS Enrollment

Based on the most recent information from CMS, provider Carlyn Burris 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 3 days ago.

Profile Details

Provider ID
1588928501
Provider Type
Individual
Full Name
Burris, Carlyn
Title
Ms.
Credential
MS SLP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/25/2012
Last Updated
6/25/2012

Contact Information

Practice Location

116 W 32nd St, Floor 8, New York, NY 10001-3212

Unlisted Fax

Mailing Location

370 W 30th St, Apt 9b, New York, NY 10001-2769

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 021981 New York