Individual ProviderEdrist DuneantStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1901 1st Avenue, New York, NY 10029(212) 423-6262PECOS EnrollmentBased on the most recent information from CMS, provider Edrist Duneant 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 ID1205575016Provider TypeIndividualFull NameDuneant, EdristCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/31/2022Last Updated8/9/2023Contact InformationPractice LocationPractice Address1901 1st Avenue, New York, NY 10029Phone(212) 423-6262FaxUnlisted FaxMailing LocationMailing Address1901 1st Avenue, New York, NY 10029Phone(212) 423-6262FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer