Individual ProviderSusan QuinnNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Woods Rd, Valhalla, NY 10595-1530(914) 493-7000(845) 642-8934PECOS EnrollmentBased on the most recent information from CMS, provider Susan Quinn is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1275153439Provider TypeIndividualFull NameQuinn, SusanCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date4/17/2020Last Updated4/17/2020Contact InformationPractice LocationPractice Address100 Woods Rd, Valhalla, NY 10595-1530Phone(914) 493-7000FaxUnlisted FaxMailing LocationMailing Address116 Washburns Ln, Stony Point, NY 10980-2138Phone(845) 642-8934FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF345787-01New York