Individual ProviderChioma IfeanyiSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address2221 Richmond Ave, Staten Island, NY 10314-3920(718) 475-5100PECOS EnrollmentBased on the most recent information from CMS, provider Chioma Ifeanyi 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 ID1720864184Provider TypeIndividualFull NameIfeanyi, ChiomaGenderFemaleSole ProprietorNoEnumeration Date9/1/2023Last Updated9/1/2023Contact InformationPractice LocationPractice Address2221 Richmond Ave, Staten Island, NY 10314-3920Phone(718) 475-5100FaxUnlisted FaxMailing LocationMailing Address97 Spartan Ave, Staten Island, NY 10303-1750PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer