Individual ProviderLaura BourhanaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address116 W 32nd St, 8th Floor, New York, NY 10001-3212(917) 597-2074PECOS EnrollmentBased on the most recent information from CMS, provider Laura Bourhana 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 10 days ago.Profile DetailsProvider ID1932352770Provider TypeIndividualFull NameBourhana, LauraTitleMs.GenderFemaleSole ProprietorNoEnumeration Date10/24/2008Last Updated4/15/2011Contact InformationPractice LocationPractice Address116 W 32nd St, 8th Floor, New York, NY 10001-3212Phone(917) 597-2074FaxUnlisted FaxMailing LocationMailing Address5985 58th Rd, Maspeth, NY 11378-3211Phone(917) 597-2074FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense006915-1New York