Individual ProviderVictor MarceanoRegistered NurseNursing Service ProvidersPractice Address85 California Ave, Middletown, NY 10940-6621(808) 772-0136PECOS EnrollmentBased on the most recent information from CMS, provider Victor Marceano 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 2 days ago.Profile DetailsProvider ID1386095917Provider TypeIndividualFull NameMarceano, VictorCredentialRNGenderMaleSole ProprietorYesEnumeration Date6/24/2016Last Updated6/24/2016Contact InformationPractice LocationPractice Address85 California Ave, Middletown, NY 10940-6621Phone(808) 772-0136FaxUnlisted FaxMailing LocationMailing Address85 California Ave, Middletown, NY 10940-6621Phone(808) 772-0136FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense7032461New York