Individual ProviderJonathan DiahStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address60 Haven Ave Apt 22c, New York, NY 10032-0569(917) 319-4133PECOS EnrollmentBased on the most recent information from CMS, provider Jonathan Diah 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 ID1093376477Provider TypeIndividualFull NameDiah, JonathanGenderFemaleSole ProprietorNoEnumeration Date6/26/2019Last Updated6/26/2019Contact InformationPractice LocationPractice Address60 Haven Ave Apt 22c, New York, NY 10032-0569Phone(917) 319-4133FaxUnlisted FaxMailing LocationMailing Address60 Haven Ave Apt 22c, New York, NY 10032-0569Phone(917) 319-4133FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer