Lori A Suflita | Middletown, NY • PECOS Search

Lori A Suflita

Specialist

Other Service Providers

192 Tower Dr Ste 400, Middletown, NY 10941-2057

PECOS Enrollment

Based on the most recent information from CMS, provider Lori A Suflita 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
1689100372
Provider Type
Individual
Full Name
Suflita, Lori A
Credential
MASTERS SPECIAL EDU.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/2/2017
Last Updated
5/2/2017

Contact Information

Practice Location

192 Tower Dr Ste 400, Middletown, NY 10941-2057

Unlisted Fax

Mailing Location

11 Giovanni Ct, Monroe, NY 10950-3915

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 868439981 New York