Individual ProviderDonoveen TullochNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address174 E 51st St, Brooklyn, NY 11203-2302(718) 671-2100PECOS EnrollmentBased on the most recent information from CMS, provider Donoveen Tulloch 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 2 days ago.Profile DetailsProvider ID1184941858Provider TypeIndividualFull NameTulloch, DonoveenCredentialFNPGenderFemaleSole ProprietorYesEnumeration Date4/21/2010Last Updated2/22/2023Contact InformationPractice LocationPractice Address174 E 51st St, Brooklyn, NY 11203-2302Phone(718) 671-2100FaxUnlisted FaxMailing LocationMailing Address1319 Remsen Ave, Brooklyn, NY 11236-4266Phone(718) 671-2100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense351379New York