Lisa Quinones | Staten Island, NY • PECOS Search

Lisa Quinones

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520

PECOS Enrollment

Based on the most recent information from CMS, provider Lisa Quinones 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 2 days ago.

Profile Details

Provider ID
1649408204
Provider Type
Individual
Full Name
Quinones, Lisa
Credential
MS CCC-SLP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/22/2009
Last Updated
6/22/2009

Contact Information

Practice Location

1535 Richmond Ave, 3rd Floor, Staten Island, NY 10314-1520

Unlisted Fax

Mailing Location

21 West St, Apt 23h, New York, NY 10006-2920

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 016096-1 New York