Individual ProviderIleana Maria AzzaraSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address333 7th Ave, New York, NY 10001-5004(917) 286-5260PECOS EnrollmentBased on the most recent information from CMS, provider Ileana Maria Azzara 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 ID1689407801Provider TypeIndividualFull NameAzzara, Ileana MariaTitleMs.GenderFemaleSole ProprietorNoEnumeration Date8/22/2024Last Updated8/22/2024Contact InformationPractice LocationPractice Address333 7th Ave, New York, NY 10001-5004Phone(917) 286-5260FaxUnlisted FaxMailing LocationMailing Address333 7th Ave, New York, NY 10001-5004PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer