Individual ProviderPatricia KeenanSpecialistOther Service ProvidersPractice Address192 Tower Dr, Suite 400, Middletown, NY 10941-2056(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Keenan 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 ID1215312103Provider TypeIndividualFull NameKeenan, PatriciaGenderFemaleSole ProprietorNoEnumeration Date7/21/2015Last Updated7/21/2015Contact InformationPractice LocationPractice Address192 Tower Dr, Suite 400, Middletown, NY 10941-2056Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address192 Tower Dr, Suite 400, Middletown, NY 10941-2056Phone(845) 692-4391FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense790464New York