Individual ProviderAlexandra RiobeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2015 Grand Concourse, Bronx, NY 10453-4303(718) 299-7285(718) 618-0401PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Riobe is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1174109508Provider TypeIndividualFull NameRiobe, AlexandraTitleMs.CredentialNPGenderFemaleSole ProprietorNoEnumeration Date3/24/2021Last Updated4/28/2021Contact InformationPractice LocationPractice Address2015 Grand Concourse, Bronx, NY 10453-4303Phone(718) 299-7285FaxUnlisted FaxMailing LocationMailing Address1434 Williamsbridge Rd Fl 2, Bronx, NY 10461-2507Phone(718) 618-0401FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF347484New YorkCode363LP2300XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF347484-01New York