Individual ProviderAnia BakunovaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address145 Park Pl Apt 4c, Brooklyn, NY 11217-3378(646) 281-5946PECOS EnrollmentBased on the most recent information from CMS, provider Ania Bakunova 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 ID1922644707Provider TypeIndividualFull NameBakunova, AniaCredentialM.S CCC-SLP TSSLD BEGenderFemaleSole ProprietorNoEnumeration Date11/27/2019Last Updated11/6/2024Contact InformationPractice LocationPractice Address145 Park Pl Apt 4c, Brooklyn, NY 11217-3378Phone(646) 281-5946FaxUnlisted FaxMailing LocationMailing Address145 Park Pl Apt 4c, Brooklyn, NY 11217-3378Phone(646) 281-5946FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted IssuerCode174N00000XDescriptionLactation Consultant, Non-RNOther Service ProvidersLicenseL-315120New York