Individual ProviderMitchell EboigbeRegistered NurseNursing Service ProvidersPractice Address24 Ewing Ave, Spring Valley, NY 10977-4203(845) 729-6502PECOS EnrollmentBased on the most recent information from CMS, provider Mitchell Eboigbe 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 11:54 AM.Profile DetailsProvider ID1144568619Provider TypeIndividualFull NameEboigbe, MitchellGenderFemaleSole ProprietorYesEnumeration Date1/17/2013Last Updated1/17/2013Contact InformationPractice LocationPractice Address24 Ewing Ave, Spring Valley, NY 10977-4203Phone(845) 729-6502FaxUnlisted FaxMailing LocationMailing Address24 Ewing Ave, Spring Valley, NY 10977-4203Phone(845) 729-6502FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense665307-1New York