Individual ProviderJennifer Adeze EgbebikeStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1 Gustave Levy Place, 1149, New York, NY 10029(786) 266-5425PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Adeze Egbebike 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 6 days ago.Profile DetailsProvider ID1194585471Provider TypeIndividualFull NameEgbebike, Jennifer AdezeCredentialMDGenderFemaleSole ProprietorYesEnumeration Date3/21/2024Last Updated3/21/2024Contact InformationPractice LocationPractice Address1 Gustave Levy Place, 1149, New York, NY 10029Phone(786) 266-5425FaxUnlisted FaxMailing LocationMailing Address1 Gustave Levy Place, Box 1149, New York, NY 10029PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer