Individual ProviderSoly JalwanRegistered NurseNursing Service ProvidersPractice Address8045 Winchester Blvd Bldg 73, Queens Village, NY 11427-2195(347) 209-0305PECOS EnrollmentBased on the most recent information from CMS, provider Soly Jalwan 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 ID1093251308Provider TypeIndividualFull NameJalwan, SolyGenderFemaleSole ProprietorNoEnumeration Date1/10/2017Last Updated1/10/2017Contact InformationPractice LocationPractice Address8045 Winchester Blvd Bldg 73, Queens Village, NY 11427-2195Phone(347) 209-0305FaxUnlisted FaxMailing LocationMailing Address76 Park Lane Dr, Albertson, NY 11507-1320Phone(347) 209-0305Fax(516) 762-8525Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense581234New York