Individual ProviderHeather DollawaySpecialistOther Service ProvidersPractice Address192 Tower Dr, Middletown, NY 10941-2056(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Heather Dollaway 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 ID1053859777Provider TypeIndividualFull NameDollaway, HeatherGenderFemaleSole ProprietorNoEnumeration Date2/1/2017Last Updated2/1/2017Contact InformationPractice LocationPractice Address192 Tower Dr, Middletown, NY 10941-2056Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address192 Tower Dr, Middletown, NY 10941-2056Phone(845) 692-4391FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer