Individual ProviderConstance LewisRegistered NurseNursing Service ProvidersPractice Address8 Crawford Pl, Middletown, NY 10940-2906(718) 308-7144PECOS EnrollmentBased on the most recent information from CMS, provider Constance Lewis 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 2 days ago.Profile DetailsProvider ID1023600483Provider TypeIndividualFull NameLewis, ConstanceGenderFemaleSole ProprietorYesEnumeration Date2/8/2021Last Updated2/8/2021Contact InformationPractice LocationPractice Address8 Crawford Pl, Middletown, NY 10940-2906Phone(718) 308-7144FaxUnlisted FaxMailing LocationMailing Address8 Crawford Pl, Middletown, NY 10940-2906PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense615075New York