Individual ProviderTyacia CalderRegistered NurseNursing Service ProvidersPractice Address86 Fairmount Ave, Apt 3, Yonkers, NY 10701-5951(347) 812-2061PECOS EnrollmentBased on the most recent information from CMS, provider Tyacia Calder 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 yesterday at 9:43 AM.Profile DetailsProvider ID1326471699Provider TypeIndividualFull NameCalder, TyaciaCredentialRNGenderFemaleSole ProprietorYesEnumeration Date8/9/2013Last Updated8/9/2013Contact InformationPractice LocationPractice Address86 Fairmount Ave, Apt 3, Yonkers, NY 10701-5951Phone(347) 812-2061FaxUnlisted FaxMailing LocationMailing Address86 Fairmount Ave, Apt 3, Yonkers, NY 10701-5951Phone(347) 812-2061FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense667071New York