Individual ProviderMirlande Paul-DenisNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address79 E 35th St # 2, Brooklyn, NY 11203-2705(917) 572-3413(901) 436-1381PECOS EnrollmentBased on the most recent information from CMS, provider Mirlande Paul-Denis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1104301753Provider TypeIndividualFull NamePaul-Denis, MirlandeGenderFemaleSole ProprietorYesEnumeration Date9/30/2018Last Updated5/17/2022Contact InformationPractice LocationPractice Address79 E 35th St # 2, Brooklyn, NY 11203-2705Phone(917) 572-3413FaxUnlisted FaxMailing LocationMailing Address50 S B B King Blvd, Memphis, TN 38103-2626Phone(901) 436-1381FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense346819New YorkCode163WH0200XDescriptionRegistered NurseNursing Service ProvidersLicense456389New York