Individual ProviderPam SutherlandSpecialistOther Service ProvidersPractice Address75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Pam Sutherland 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 ID1154970952Provider TypeIndividualFull NameSutherland, PamGenderFemaleSole ProprietorNoEnumeration Date9/5/2019Last Updated9/5/2019Contact InformationPractice LocationPractice Address75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010Phone(845) 692-4391FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer