Daniella Oppenheimer | Staten Island, NY • PECOS Search

Daniella Oppenheimer

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

40 Merrill Ave, Staten Island, NY 10314-3312

PECOS Enrollment

Based on the most recent information from CMS, provider Daniella Oppenheimer 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
1780993949
Provider Type
Individual
Full Name
Oppenheimer, Daniella
Title
Mrs.
Credential
M.S., CCC/SLP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/5/2010
Last Updated
10/7/2010

Contact Information

Practice Location

40 Merrill Ave, Staten Island, NY 10314-3312

Unlisted Fax

Mailing Location

36 Ismay St, Staten Island, NY 10314-5020

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 019240-1 New York