Individual ProviderCynthia JeanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2015 Grand Concourse, Bronx, NY 10453(718) 299-7295(718) 618-0401PECOS EnrollmentBased on the most recent information from CMS, provider Cynthia Jean 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 3 days ago.Profile DetailsProvider ID1003278623Provider TypeIndividualFull NameJean, CynthiaGenderFemaleSole ProprietorNoEnumeration Date3/23/2016Last Updated4/27/2021Contact InformationPractice LocationPractice Address2015 Grand Concourse, Bronx, NY 10453Phone(718) 299-7295FaxUnlisted FaxMailing LocationMailing Address1434 Williamsbridge Rd, Bronx, NY 10461-2507Phone(718) 618-0401Fax(347) 479-1303Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF338701New York