Individual ProviderDion DepraStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address47 New Scotland Avenue, Department Of Psychiatry, Albany, NY 12208(518) 262-5511PECOS EnrollmentBased on the most recent information from CMS, provider Dion Depra 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 ID1174150627Provider TypeIndividualFull NameDepra, DionGenderMaleSole ProprietorNoEnumeration Date3/25/2020Last Updated3/25/2020Contact InformationPractice LocationPractice Address47 New Scotland Avenue, Department Of Psychiatry, Albany, NY 12208Phone(518) 262-5511FaxUnlisted FaxMailing LocationMailing Address47 New Scotland Avenue, Department Of Psychiatry, Albany, NY 12208PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense64284