Individual ProviderYvonne HodgeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address450 Clarkson Ave, Coumadin Clinic - Suite C, Brooklyn, NY 11203-2056(718) 270-1491PECOS EnrollmentBased on the most recent information from CMS, provider Yvonne Hodge 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 ID1427282755Provider TypeIndividualFull NameHodge, YvonneTitleMissCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date5/14/2009Last Updated5/14/2009Contact InformationPractice LocationPractice Address450 Clarkson Ave, Coumadin Clinic - Suite C, Brooklyn, NY 11203-2056Phone(718) 270-1491Fax(718) 270-4436Mailing LocationMailing Address450 Clarkson Ave, Coumadin Clinic - Suite C, Brooklyn, NY 11203-2056Phone(718) 270-1491Fax(718) 270-4436Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF335185-1New York