Individual ProviderConnie CarrascoRegistered NurseNursing Service ProvidersPractice Address32 Coolidge Ave, Upper Floor, Yonkers, NY 10701-5931(845) 473-1222PECOS EnrollmentBased on the most recent information from CMS, provider Connie Carrasco 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 ID1336545888Provider TypeIndividualFull NameCarrasco, ConnieGenderFemaleSole ProprietorNoEnumeration Date11/11/2014Last Updated11/11/2014Contact InformationPractice LocationPractice Address32 Coolidge Ave, Upper Floor, Yonkers, NY 10701-5931Phone(845) 473-1222FaxUnlisted FaxMailing LocationMailing Address32 Coolidge Ave, Upper Floor, Yonkers, NY 10701-5931PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense691102-1New YorkCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense284037-1New York