Individual ProviderJennifer PetermanSpecialistOther Service ProvidersPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032(845) 692-4391(845) 781-6513PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Peterman 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 5 days ago.Profile DetailsProvider ID1205190758Provider TypeIndividualFull NamePeterman, JenniferTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date6/29/2012Last Updated6/29/2012Contact InformationPractice LocationPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address11 Elm St, Chester, NY 10918-1346Phone(845) 781-6513FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense522250111New York