Individual ProviderMarie M ClergeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address470 Clarkson Ave, Brooklyn, NY 11203-2012(718) 270-4580PECOS EnrollmentBased on the most recent information from CMS, provider Marie M Clerge 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 ID1407318660Provider TypeIndividualFull NameClerge, Marie MCredentialNPGenderFemaleSole ProprietorNoEnumeration Date4/4/2019Last Updated4/4/2019Contact InformationPractice LocationPractice Address470 Clarkson Ave, Brooklyn, NY 11203-2012Phone(718) 270-4580FaxUnlisted FaxMailing LocationMailing Address470 Clarkson Ave, Brooklyn, NY 11203-2012Phone(718) 270-4580FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF341270-1New York