Kathleen Elizabeth Pulisciano | Staten Island, NY • PECOS Search

Kathleen Elizabeth Pulisciano

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

3-D Signs Road, Staten Island, NY 10314-3829

PECOS Enrollment

Based on the most recent information from CMS, provider Kathleen Elizabeth Pulisciano 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 2 days ago.

Profile Details

Provider ID
1992926596
Provider Type
Individual
Full Name
Pulisciano, Kathleen Elizabeth
Title
Ms.
Credential
MS, CCC-SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
5/1/2007
Last Updated
7/8/2007

Contact Information

Practice Location

3-D Signs Road, Staten Island, NY 10314-3829

Unlisted Fax

Mailing Location

3-D Signs Road, Staten Island, NY 10314-3829

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License 008394-1 New York