Individual ProviderRivka I. GringrasSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address400 Caswell Ave, Staten Island, NY 10314-1700(347) 446-2834PECOS EnrollmentBased on the most recent information from CMS, provider Rivka I. Gringras 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 2 days ago.Profile DetailsProvider ID1700024148Provider TypeIndividualFull NameGringras, Rivka I.TitleMrs.CredentialM.S., SLP, CCC, OMGenderFemaleSole ProprietorYesEnumeration Date1/22/2009Last Updated12/8/2020Contact InformationPractice LocationPractice Address400 Caswell Ave, Staten Island, NY 10314-1700Phone(347) 446-2834FaxUnlisted FaxMailing LocationMailing Address5 Ossman Dr, Pomona, NY 10970-2651Phone(347) 446-2834FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense013312-1New York