Individual ProviderClaudia Bulacio-CoboSpecialistOther Service ProvidersPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Claudia Bulacio-Cobo 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 6 days ago.Profile DetailsProvider ID1104188275Provider TypeIndividualFull NameBulacio-Cobo, ClaudiaCredentialM.S. ED.GenderFemaleSole ProprietorNoEnumeration Date6/13/2012Last Updated6/13/2012Contact InformationPractice LocationPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address12 Highview Ave, Middletown, NY 10940-6250PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerNew York