Susan Ontman | Brooklyn, NY • PECOS Search

Susan Ontman

Specialist

Other Service Providers

5805 7th Ave, Brooklyn, NY 11220-3964

PECOS Enrollment

Based on the most recent information from CMS, provider Susan Ontman 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 3 days ago.

Profile Details

Provider ID
1790673416
Provider Type
Individual
Full Name
Ontman, Susan
Title
Mrs.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/24/2025
Last Updated
6/24/2025

Contact Information

Practice Location

5805 7th Ave, Brooklyn, NY 11220-3964

Unlisted Fax

Mailing Location

5805 7th Ave, Brooklyn, NY 11220-3964

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer