Individual ProviderAnna PortStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2655 Ridgeway Ave, Rochester, NY 14626-4296(585) 922-5465PECOS EnrollmentBased on the most recent information from CMS, provider Anna Port 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 ID1093695843Provider TypeIndividualFull NamePort, AnnaGenderFemaleSole ProprietorNoEnumeration Date9/3/2025Last Updated9/3/2025Contact InformationPractice LocationPractice Address2655 Ridgeway Ave, Rochester, NY 14626-4296Phone(585) 922-5465FaxUnlisted FaxMailing LocationMailing Address265c Charwood Cir, Rochester, NY 14609-2714PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer