Deanna Gillon | Staten Island, NY • PECOS Search

Deanna Gillon

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1581 Victory Blvd, Staten Island, NY 10314-3528

(718) 556-4400 (917) 584-4596

PECOS Enrollment

Based on the most recent information from CMS, provider Deanna Gillon does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1710239157
Provider Type
Individual
Full Name
Gillon, Deanna
Credential
M.S. SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/9/2012
Last Updated
9/17/2024

Contact Information

Practice Location

1581 Victory Blvd, Staten Island, NY 10314-3528

Unlisted Fax

Mailing Location

32 Ardmore Ln, Matawan, NJ 07747-1232

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 023185 New York