Individual ProviderAminata JohnRegistered NurseNursing Service ProvidersPractice Address2052 Tillotson Ave, Bronx, NY 10475-1560(718) 671-2100PECOS EnrollmentBased on the most recent information from CMS, provider Aminata John 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 yesterday at 9:43 AM.Profile DetailsProvider ID1073957684Provider TypeIndividualFull NameJohn, AminataGenderFemaleSole ProprietorYesEnumeration Date4/25/2013Last Updated4/25/2013Contact InformationPractice LocationPractice Address2052 Tillotson Ave, Bronx, NY 10475-1560Phone(718) 671-2100FaxUnlisted FaxMailing LocationMailing Address2052 Tillotson Ave, Bronx, NY 10475-1560Phone(718) 671-2100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense669076New York