Individual ProviderMarshall WalkerLicensed Practical NurseNursing Service ProvidersPractice Address61 Rustic St, Rochester, NY 14609-3509(585) 284-0330PECOS EnrollmentBased on the most recent information from CMS, provider Marshall Walker 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 yesterday at 12:33 PM.Profile DetailsProvider ID1114210614Provider TypeIndividualFull NameWalker, MarshallCredentialLPNGenderMaleSole ProprietorYesEnumeration Date5/17/2011Last Updated5/17/2011Contact InformationPractice LocationPractice Address61 Rustic St, Rochester, NY 14609-3509Phone(585) 284-0330FaxUnlisted FaxMailing LocationMailing Address61 Rustic St, Rochester, NY 14609-3509Phone(585) 284-0330FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense263771-1New York