Individual ProviderDaniel BruhSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5 Cliff Way, Port Washington, NY 11050-4303(516) 384-8798PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Bruh is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1336739184Provider TypeIndividualFull NameBruh, DanielCredentialLMSWGenderMaleSole ProprietorYesEnumeration Date1/25/2021Last Updated7/8/2024Contact InformationPractice LocationPractice Address5 Cliff Way, Port Washington, NY 11050-4303Phone(516) 384-8798FaxUnlisted FaxMailing LocationMailing Address5 Cliff Way, Port Washington, NY 11050-4303Phone(516) 384-8798FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense097884New YorkCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense111410New York