Individual ProviderElizabeth FrederickNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address95 Grasslands Rd, Valhalla, NY 10595-1652(914) 493-7000PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Frederick 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 today at 1:00 PM.Profile DetailsProvider ID1417119678Provider TypeIndividualFull NameFrederick, ElizabethTitleMrs.CredentialFNPGenderFemaleSole ProprietorNoEnumeration Date6/30/2008Last Updated6/30/2008Contact InformationPractice LocationPractice Address95 Grasslands Rd, Valhalla, NY 10595-1652Phone(914) 493-7000FaxUnlisted FaxMailing LocationMailing Address95 Grasslands Rd, Valhalla, NY 10595-1652PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense335560New York