Individual ProviderEmmanuel PaulRegistered NurseNursing Service ProvidersPractice Address21040 Grand Central Pkwy, Apt-1b, Queens Village, NY 11427-1728(718) 671-2100PECOS EnrollmentBased on the most recent information from CMS, provider Emmanuel Paul 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 3 days ago.Profile DetailsProvider ID1437442548Provider TypeIndividualFull NamePaul, EmmanuelCredentialRNGenderMaleSole ProprietorYesEnumeration Date5/23/2011Last Updated5/23/2011Contact InformationPractice LocationPractice Address21040 Grand Central Pkwy, Apt-1b, Queens Village, NY 11427-1728Phone(718) 671-2100FaxUnlisted FaxMailing LocationMailing Address21040 Grand Central Pkwy, Apt-1b, Queens Village, NY 11427-1728Phone(718) 671-2100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense639572New York