Individual ProviderEnelisse HernandezRegistered NurseNursing Service ProvidersPractice Address300 Corporate Blvd S, Yonkers, NY 10701-6862(833) 637-3866PECOS EnrollmentBased on the most recent information from CMS, provider Enelisse Hernandez 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 ID1336729300Provider TypeIndividualFull NameHernandez, EnelisseGenderFemaleSole ProprietorNoEnumeration Date4/13/2021Last Updated4/13/2021Contact InformationPractice LocationPractice Address300 Corporate Blvd S, Yonkers, NY 10701-6862Phone(833) 637-3866FaxUnlisted FaxMailing LocationMailing Address8606 2nd Ave, North Bergen, NJ 07047-5147PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense814012New YorkCode163WS0200XDescriptionRegistered NurseNursing Service ProvidersLicense814012New York