Individual ProviderMelissa TinaphongSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address116 W 32nd St, New York, NY 10001-3212(212) 564-2350PECOS EnrollmentBased on the most recent information from CMS, provider Melissa Tinaphong 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 ID1669927497Provider TypeIndividualFull NameTinaphong, MelissaGenderFemaleSole ProprietorNoEnumeration Date8/22/2016Last Updated10/24/2017Contact InformationPractice LocationPractice Address116 W 32nd St, New York, NY 10001-3212Phone(212) 564-2350FaxUnlisted FaxMailing LocationMailing Address55 Metcalfe St, Staten Island, NY 10304-1879PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense027172