Individual ProviderJennifer RodriguezSpecialistOther Service ProvidersPractice Address228 Springmeadow Dr, Unit E., Holbrook, NY 11741-4133(516) 236-8040PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Rodriguez 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 12:04 PM.Profile DetailsProvider ID1437562857Provider TypeIndividualFull NameRodriguez, JenniferTitleMs.GenderFemaleSole ProprietorNoEnumeration Date6/3/2014Last Updated6/3/2014Contact InformationPractice LocationPractice Address228 Springmeadow Dr, Unit E., Holbrook, NY 11741-4133Phone(516) 236-8040FaxUnlisted FaxMailing LocationMailing Address228 Springmeadow Dr, Unit E., Holbrook, NY 11741-4133Phone(516) 236-8040FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer