Individual ProviderBrian RoStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address622 W 168th Street, New York, NY 10032(212) 305-6100PECOS EnrollmentBased on the most recent information from CMS, provider Brian Ro 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 2 days ago.Profile DetailsProvider ID1164125142Provider TypeIndividualFull NameRo, BrianGenderMaleSole ProprietorNoEnumeration Date3/27/2023Last Updated3/27/2023Contact InformationPractice LocationPractice Address622 W 168th Street, New York, NY 10032Phone(212) 305-6100FaxUnlisted FaxMailing LocationMailing Address622 W 168th Street, New York, NY 10032Phone(212) 305-6100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer