Individual ProviderGary Rex DumalaosRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(718) 464-7500PECOS EnrollmentBased on the most recent information from CMS, provider Gary Rex Dumalaos 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 3 days ago.Profile DetailsProvider ID1316730435Provider TypeIndividualFull NameDumalaos, Gary RexGenderMaleSole ProprietorYesEnumeration Date5/22/2025Last Updated5/22/2025Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(718) 464-7500FaxUnlisted FaxMailing LocationMailing Address7552 255th St # 1f, Glen Oaks, NY 11004-1137PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense761367New York