Individual ProviderSusamma AbrahamRegistered NurseNursing Service ProvidersPractice Address8045 Winchester Blvd, Queens Village, NY 11427-2193(718) 739-5778PECOS EnrollmentBased on the most recent information from CMS, provider Susamma Abraham 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 ID1174934616Provider TypeIndividualFull NameAbraham, SusammaGenderFemaleSole ProprietorYesEnumeration Date5/19/2014Last Updated5/19/2014Contact InformationPractice LocationPractice Address8045 Winchester Blvd, Queens Village, NY 11427-2193Phone(718) 739-5778Fax(718) 523-2728Mailing LocationMailing Address8045 Winchester Blvd, Queens Village, NY 11427-2193Phone(718) 739-5778Fax(718) 523-2728Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense481818New York