Individual ProviderDeborah GrunNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address85 W Burnside Ave, Bronx, NY 10453-4015(718) 483-1270PECOS EnrollmentBased on the most recent information from CMS, provider Deborah Grun 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 ID1063758001Provider TypeIndividualFull NameGrun, DeborahCredentialRN, FNPGenderFemaleSole ProprietorNoEnumeration Date12/19/2012Last Updated11/23/2013Contact InformationPractice LocationPractice Address85 W Burnside Ave, Bronx, NY 10453-4015Phone(718) 483-1270FaxUnlisted FaxMailing LocationMailing Address475 W 186th St, Apt 4g, New York, NY 10033-2903PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF337735-1New YorkCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense6139691New York