Individual ProviderHazel NievesSpecialistOther Service ProvidersPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032(845) 692-4391(845) 564-2137PECOS EnrollmentBased on the most recent information from CMS, provider Hazel Nieves 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 ID1285997791Provider TypeIndividualFull NameNieves, HazelCredentialMS SP ED.GenderFemaleSole ProprietorNoEnumeration Date6/19/2012Last Updated6/19/2012Contact InformationPractice LocationPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address182 Sara Ln, Newburgh, NY 12550-2597Phone(845) 564-2137FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense1293954New York