Individual ProviderChristina Marie ScanlanSpecialistOther Service ProvidersPractice Address865 Broadway Ave Apt 33b, Holbrook, NY 11741-4932(631) 312-1893PECOS EnrollmentBased on the most recent information from CMS, provider Christina Marie Scanlan 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 12:04 PM.Profile DetailsProvider ID1356110803Provider TypeIndividualFull NameScanlan, Christina MarieGenderFemaleSole ProprietorYesEnumeration Date12/26/2023Last Updated12/26/2023Contact InformationPractice LocationPractice Address865 Broadway Ave Apt 33b, Holbrook, NY 11741-4932Phone(631) 312-1893FaxUnlisted FaxMailing LocationMailing Address865 Broadway Ave Apt 33b, Holbrook, NY 11741-4932Phone(631) 312-1893FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer