Individual ProviderLizette CormanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address19 West 34 St., Penthouse, Ny, NY 10001-1415(201) 965-7219PECOS EnrollmentBased on the most recent information from CMS, provider Lizette Corman 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 2:56 PM.Profile DetailsProvider ID1134337694Provider TypeIndividualFull NameCorman, LizetteTitleMrs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date5/18/2007Last Updated6/28/2011Contact InformationPractice LocationPractice Address19 West 34 St., Penthouse, Ny, NY 10001-1415Phone(201) 965-7219Fax(201) 261-8064Mailing LocationMailing Address737 Lotus Ave, Oradell, NJ 07649-1417Phone(201) 965-7219Fax(201) 261-8064Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense027393RNew YorkCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense44SC00767000New Jersey