Individual ProviderMary RichardsonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address5 East 98th Street, 9th Floor, New York, NY 10029(212) 241-1621PECOS EnrollmentBased on the most recent information from CMS, provider Mary Richardson 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 6 days ago.Profile DetailsProvider ID1336990761Provider TypeIndividualFull NameRichardson, MaryTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/1/2024Last Updated4/1/2024Contact InformationPractice LocationPractice Address5 East 98th Street, 9th Floor, New York, NY 10029Phone(212) 241-1621FaxUnlisted FaxMailing LocationMailing Address1 Gustave L Levy Place, Box 1188, New York, NY 10029Phone(212) 241-1621FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer