Individual ProviderThalita Souza CoelhoStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address622 W 168th St, New York, NY 10032(929) 335-6115PECOS EnrollmentBased on the most recent information from CMS, provider Thalita Souza Coelho 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 3 days ago.Profile DetailsProvider ID1265118244Provider TypeIndividualFull NameCoelho, Thalita SouzaGenderFemaleSole ProprietorNoEnumeration Date6/26/2023Last Updated6/26/2023Contact InformationPractice LocationPractice Address622 W 168th St, New York, NY 10032Phone(929) 335-6115FaxUnlisted FaxMailing LocationMailing Address622 W 168th St, New York, NY 10032Phone(929) 335-6115FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer