Individual ProviderElisheva RypSocial WorkerBehavioral Health & Social Service ProvidersPractice Address19 Greenridge Ave, White Plains, NY 10605-1201(914) 949-7680(914) 965-3700PECOS EnrollmentBased on the most recent information from CMS, provider Elisheva Ryp 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 2 days ago.Profile DetailsProvider ID1265710719Provider TypeIndividualFull NameRyp, ElishevaCredentialLMSWGenderFemaleSole ProprietorNoEnumeration Date8/2/2011Last Updated8/2/2011Contact InformationPractice LocationPractice Address19 Greenridge Ave, White Plains, NY 10605-1201Phone(914) 949-7680Fax(914) 949-3525Mailing LocationMailing Address1156 N Broadway, Yonkers, NY 10701-1108Phone(914) 965-3700Fax(914) 965-3883Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense081394New YorkCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1285628552DescriptionOtherIssuerAGENCY NPI #New YorkID00355940DescriptionOtherIssuerAGENCY MEDICAID IDNew YorkID132793295DescriptionOtherIssuerANGENCY TAX IDNew YorkIDWVE061DescriptionOtherIssuerAGENCY MEDICARE IDNew York