Individual ProviderBrendan David RossStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOne Gustave L. Levy Place, New York, NY 10029(212) 659-8734PECOS EnrollmentBased on the most recent information from CMS, provider Brendan David Ross 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 6 days ago.Profile DetailsProvider ID1053014399Provider TypeIndividualFull NameRoss, Brendan DavidGenderMaleSole ProprietorNoEnumeration Date3/24/2023Last Updated3/24/2023Contact InformationPractice LocationPractice AddressOne Gustave L. Levy Place, New York, NY 10029Phone(212) 659-8734FaxUnlisted FaxMailing LocationMailing AddressOne Gustave L. Levy Place, PO Box 1230, New York, NY 10029PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer