Lydia Pagan-Migenes | New York, NY • PECOS Search

Lydia Pagan-Migenes

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

1250 Broadway, New York, NY 10001-3701

(212) 609-6287 (203) 445-1833

PECOS Enrollment

Based on the most recent information from CMS, provider Lydia Pagan-Migenes 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 today at 11:52 AM.

Profile Details

Provider ID
1881822997
Provider Type
Individual
Full Name
Pagan-Migenes, Lydia
Title
Mrs.
Credential
MA CCC SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/26/2009
Last Updated
12/6/2010

Contact Information

Practice Location

1250 Broadway, New York, NY 10001-3701

Unlisted Fax

Mailing Location

193 Westport Rd, Easton, CT 06612-1329

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 013307 New York