Individual ProviderCybill ClermontNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2015 Grand Concourse, Bronx, NY 10453-4303(718) 299-7295(646) 939-5413PECOS EnrollmentBased on the most recent information from CMS, provider Cybill Clermont is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1013468099Provider TypeIndividualFull NameClermont, CybillGenderFemaleSole ProprietorNoEnumeration Date10/14/2016Last Updated11/17/2017Contact InformationPractice LocationPractice Address2015 Grand Concourse, Bronx, NY 10453-4303Phone(718) 299-7295Fax(718) 299-6797Mailing LocationMailing Address1 Gustave L Levy Pl # 1495, New York, NY 10029-6504Phone(646) 939-5413Fax(212) 241-4133Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF340734New York