Laura Russo | New York, NY • PECOS Search

Laura Russo

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

460 W 34th St Fl 2, New York, NY 10001-2354

(212) 991-5503 (631) 338-6335

PECOS Enrollment

Based on the most recent information from CMS, provider Laura Russo 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
1679132930
Provider Type
Individual
Full Name
Russo, Laura
Gender
Female

Sole Proprietor
No
Enumeration Date
6/11/2019
Last Updated
6/11/2019

Contact Information

Practice Location

460 W 34th St Fl 2, New York, NY 10001-2354

Unlisted Fax

Mailing Location

1 Kent Pl, Smithtown, NY 11787-2110

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License Unlisted Issuer