Individual ProviderDoreen Marie BellantoniSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address7 Wisteria Way, Commack, NY 11725-2726(631) 871-5548PECOS EnrollmentBased on the most recent information from CMS, provider Doreen Marie Bellantoni 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 3 days ago.Profile DetailsProvider ID1720377849Provider TypeIndividualFull NameBellantoni, Doreen MarieCredentialMA CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date3/29/2011Last Updated4/11/2017Contact InformationPractice LocationPractice Address7 Wisteria Way, Commack, NY 11725-2726Phone(631) 871-5548FaxUnlisted FaxMailing LocationMailing Address7 Wisteria Way, Commack, NY 11725-2726Phone(631) 871-5548FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense020853-1New York