Individual ProviderMarian O PatawahRegistered NurseNursing Service ProvidersPractice Address959 E 212th St Fl 2, Bronx, NY 10469-1109(646) 837-1849PECOS EnrollmentBased on the most recent information from CMS, provider Marian O Patawah 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 7 days ago.Profile DetailsProvider ID1295249704Provider TypeIndividualFull NamePatawah, Marian OCredentialRNGenderFemaleSole ProprietorYesEnumeration Date11/20/2017Last Updated7/5/2020Contact InformationPractice LocationPractice Address959 E 212th St Fl 2, Bronx, NY 10469-1109Phone(646) 837-1849FaxUnlisted FaxMailing LocationMailing Address959 E 212th St Fl 2, Bronx, NY 10469-1109Phone(646) 837-1849FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense768947New YorkCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense329554New York