Individual ProviderDina BrutusSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address515 Buchanan Ave, Staten Island, NY 10314-4129(718) 415-0508PECOS EnrollmentBased on the most recent information from CMS, provider Dina Brutus 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 ID1700166998Provider TypeIndividualFull NameBrutus, DinaTitleMrs.CredentialSLPGenderFemaleSole ProprietorYesEnumeration Date8/19/2011Last Updated8/19/2011Contact InformationPractice LocationPractice Address515 Buchanan Ave, Staten Island, NY 10314-4129Phone(718) 415-0508Fax(718) 415-0508Mailing LocationMailing Address515 Buchanan Avenue, Staten Island, NY 10314Phone(718) 415-0508Fax(718) 415-0508Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense021206New York