Susanna Goldsman | Staten Island, NY • PECOS Search

Susanna Goldsman

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

652 Harris Ave, Staten Island, NY 10314-4361

PECOS Enrollment

Based on the most recent information from CMS, provider Susanna Goldsman 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
1811084411
Provider Type
Individual
Full Name
Goldsman, Susanna
Credential
SPEECH PATHOLOGISTS

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/6/2006
Last Updated
7/8/2007

Contact Information

Practice Location

652 Harris Ave, Staten Island, NY 10314-4361

Unlisted Fax

Mailing Location

652 Harris Ave, Staten Island, NY 10314-4361

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 005201-1 New York