Debra Wilson | Middletown, NY • PECOS Search

Debra Wilson

Specialist

Other Service Providers

75 Crystal Run Rd, Middletown, NY 10941-7000

PECOS Enrollment

Based on the most recent information from CMS, provider Debra Wilson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1073078002
Provider Type
Individual
Full Name
Wilson, Debra
Gender
Female

Sole Proprietor
No
Enumeration Date
2/4/2019
Last Updated
2/4/2019

Contact Information

Practice Location

75 Crystal Run Rd, Middletown, NY 10941-7000

Unlisted Fax

Mailing Location

75 Crystal Run Rd, Middletown, NY 10941-7000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer