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 10 days ago.

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