Individual ProviderLauren DolcemascoloSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address62 Park Pl, Brooklyn, NY 11217-3208(718) 789-1192(917) 577-6940PECOS EnrollmentBased on the most recent information from CMS, provider Lauren Dolcemascolo 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 6 days ago.Profile DetailsProvider ID1881137537Provider TypeIndividualFull NameDolcemascolo, LaurenTitleMrs.CredentialCCC-SLPGenderFemaleSole ProprietorYesEnumeration Date11/29/2016Last Updated1/20/2022Contact InformationPractice LocationPractice Address62 Park Pl, Brooklyn, NY 11217-3208Phone(718) 789-1192FaxUnlisted FaxMailing LocationMailing Address62 Park Pl, Brooklyn, NY 11217-3208Phone(917) 577-6940FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense022384New YorkProvider IdentifiersIDDescriptionIssuerID1881137537DescriptionMedicaidIssuerUnlistedNew York