Individual ProviderDeepa BobbyRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(718) 464-7500PECOS EnrollmentBased on the most recent information from CMS, provider Deepa Bobby 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 3 days ago.Profile DetailsProvider ID1154118073Provider TypeIndividualFull NameBobby, DeepaGenderFemaleSole ProprietorYesEnumeration Date4/23/2025Last Updated4/23/2025Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(718) 464-7500FaxUnlisted FaxMailing LocationMailing Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(718) 464-7500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense742967New York