Individual ProviderVanessa BarulichCounselorBehavioral Health & Social Service ProvidersPractice Address1688 Victory Blvd, Staten Island, NY 10314-3547(719) 447-5700PECOS EnrollmentBased on the most recent information from CMS, provider Vanessa Barulich is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1770030660Provider TypeIndividualFull NameBarulich, VanessaGenderFemaleSole ProprietorNoEnumeration Date9/8/2016Last Updated9/8/2016Contact InformationPractice LocationPractice Address1688 Victory Blvd, Staten Island, NY 10314-3547Phone(719) 447-5700Fax(718) 442-8945Mailing LocationMailing Address1688 Victory Blvd, Staten Island, NY 10314-3547Phone(719) 447-5700Fax(718) 442-8945Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseP01307New YorkProvider IdentifiersIDDescriptionIssuerIDP01307DescriptionOtherIssuerMHCNew York