Individual ProviderKenny M MascaryCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley St, Roxbury, MA 02119-2732(857) 277-8342PECOS EnrollmentBased on the most recent information from CMS, provider Kenny M Mascary 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 12:57 PM.Profile DetailsProvider ID1386313658Provider TypeIndividualFull NameMascary, Kenny MGenderMaleSole ProprietorYesEnumeration Date9/9/2021Last Updated9/9/2021Contact InformationPractice LocationPractice Address504 Dudley St, Roxbury, MA 02119-2732Phone(857) 277-8342FaxUnlisted FaxMailing LocationMailing Address504 Dudley St, Roxbury, MA 02119-2732PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer