Individual ProviderJohn Paul HandagoSpecialistOther Service ProvidersPractice Address390 Crystal Run Rd, Suite 104, Middletown, NY 10941-7000(845) 703-3050PECOS EnrollmentBased on the most recent information from CMS, provider John Paul Handago 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 5 days ago.Profile DetailsProvider ID1447276704Provider TypeIndividualFull NameHandago, John PaulTitleDr.CredentialM.D.GenderMaleSole ProprietorYesEnumeration Date7/13/2006Last Updated5/9/2008Contact InformationPractice LocationPractice Address390 Crystal Run Rd, Suite 104, Middletown, NY 10941-7000Phone(845) 703-3050Fax(845) 703-3055Mailing LocationMailing Address390 Crystal Run Rd, Suite 104, Middletown, NY 10941-7000Phone(845) 703-3050Fax(845) 703-3055Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense132248New YorkCode174400000XDescriptionSpecialistOther Service ProvidersLicense25MA03547500New Jersey