Individual ProviderCarolyn Faith GellerSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address276 Lander Ave, Staten Island, NY 10314-2730(718) 477-9005PECOS EnrollmentBased on the most recent information from CMS, provider Carolyn Faith Geller 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 ID1710005459Provider TypeIndividualFull NameGeller, Carolyn FaithTitleMrs.CredentialMSCCC-SLPGenderFemaleSole ProprietorYesEnumeration Date3/27/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address276 Lander Ave, Staten Island, NY 10314-2730Phone(718) 477-9005Fax(718) 720-7482Mailing LocationMailing Address276 Lander Avenue, Staten Island, NY 10314Phone(718) 477-9005Fax(718) 720-7482Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense008497-1New York