Individual ProviderMaduyen KeitaCounselorBehavioral Health & Social Service ProvidersPractice Address2795 Richmond Ave, Staten Island, NY 10314-5866(718) 982-6982PECOS EnrollmentBased on the most recent information from CMS, provider Maduyen Keita 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 yesterday at 1:08 PM.Profile DetailsProvider ID1902164544Provider TypeIndividualFull NameKeita, MaduyenTitleMs.GenderFemaleSole ProprietorYesEnumeration Date5/2/2012Last Updated5/2/2012Contact InformationPractice LocationPractice Address2795 Richmond Ave, Staten Island, NY 10314-5866Phone(718) 982-6982Fax(718) 982-6916Mailing LocationMailing Address141 Marion St, Staten Island, NY 10310-2229PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer