Individual ProviderMarian PetersSpecialistOther Service ProvidersPractice Address75 Crystal Run Rd, Middletown, NY 10941-7000(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Marian Peters 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 ID1306562269Provider TypeIndividualFull NamePeters, MarianGenderFemaleSole ProprietorNoEnumeration Date10/12/2022Last Updated10/26/2022Contact InformationPractice LocationPractice Address75 Crystal Run Rd, Middletown, NY 10941-7000Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address75 Crystal Run Rd, Middletown, NY 10941-7000Phone(845) 692-4391FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer