Tara Susan Bottone | Brooklyn, NY • PECOS Search

Tara Susan Bottone

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

440 Atlantic Ave, Brooklyn, NY 11217-1704

(718) 260-8881 (718) 909-5433

PECOS Enrollment

Based on the most recent information from CMS, provider Tara Susan Bottone 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 6 days ago.

Profile Details

Provider ID
1952556987
Provider Type
Individual
Full Name
Bottone, Tara Susan
Title
Ms.
Credential
M.A.,CCC-SLP,TSHH

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/18/2008
Last Updated
11/18/2008

Contact Information

Practice Location

440 Atlantic Ave, Brooklyn, NY 11217-1704

Unlisted Fax

Mailing Location

829 Greenwood Ave, Apt 2 S, Brooklyn, NY 11218-1349

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 017018 New York