Individual ProviderKimberly Ann OlivaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address383 State St, Brooklyn, NY 11217-1706(718) 852-1701PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Ann Oliva 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 6 days ago.Profile DetailsProvider ID1700323052Provider TypeIndividualFull NameOliva, Kimberly AnnCredentialM.A CCC-SLP TSSLDGenderFemaleSole ProprietorYesEnumeration Date1/25/2017Last Updated1/25/2017Contact InformationPractice LocationPractice Address383 State St, Brooklyn, NY 11217-1706Phone(718) 852-1701Fax(718) 624-6746Mailing LocationMailing Address383 State St, Brooklyn, NY 11217-1706Phone(718) 852-1701Fax(718) 624-6746Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense026414New York