Individual ProviderDomenica M MondoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address19 West 34th Street, Penthouse, New York, NY 10001(212) 947-7111(914) 725-3726PECOS EnrollmentBased on the most recent information from CMS, provider Domenica M Mondo 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 ID1568546067Provider TypeIndividualFull NameMondo, Domenica MTitleMs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date10/24/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address19 West 34th Street, Penthouse, New York, NY 10001Phone(212) 947-7111FaxUnlisted FaxMailing LocationMailing Address19 Dogwood Drive, Scarsdale, NY 10583Phone(914) 725-3726FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0399131New YorkProvider IdentifiersIDDescriptionIssuerID01812495DescriptionMedicaidIssuerUnlistedNew York