Individual ProviderTracey DuraznoSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address610 Baltic St Rm 227, Brooklyn, NY 11217-2705(718) 398-5470(347) 513-8084PECOS EnrollmentBased on the most recent information from CMS, provider Tracey Durazno 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 4 days ago.Profile DetailsProvider ID1598255077Provider TypeIndividualFull NameDurazno, TraceyCredentialCCC SLPGenderFemaleSole ProprietorNoEnumeration Date5/10/2018Last Updated5/10/2018Contact InformationPractice LocationPractice Address610 Baltic St Rm 227, Brooklyn, NY 11217-2705Phone(718) 398-5470FaxUnlisted FaxMailing LocationMailing Address1616 Beverley Rd Apt 3f, Brooklyn, NY 11226-5231Phone(347) 513-8084FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense027299-1New York