Individual ProviderZelda BoomerRegistered NurseNursing Service ProvidersPractice Address920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475(646) 305-5920PECOS EnrollmentBased on the most recent information from CMS, provider Zelda Boomer 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 9:43 AM.Profile DetailsProvider ID1447626130Provider TypeIndividualFull NameBoomer, ZeldaGenderFemaleSole ProprietorYesEnumeration Date8/17/2015Last Updated8/17/2015Contact InformationPractice LocationPractice Address920 Coop City Blvd Bx. Ny 10475, Bronx, NY 10475Phone(646) 305-5920FaxUnlisted FaxMailing LocationMailing Address920-16 Coopcity Blvd, Bronx, NY 10475Phone(646) 305-5920FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense346659-1New York