Individual ProviderDiana Alexandra EntienRegistered NurseNursing Service ProvidersPractice Address3488 Fish Ave, 1a, Bronx, NY 10469-2204(347) 513-2110PECOS EnrollmentBased on the most recent information from CMS, provider Diana Alexandra Entien 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 7 days ago.Profile DetailsProvider ID1457786980Provider TypeIndividualFull NameEntien, Diana AlexandraGenderFemaleSole ProprietorYesEnumeration Date9/3/2013Last Updated2/13/2018Contact InformationPractice LocationPractice Address3488 Fish Ave, 1a, Bronx, NY 10469-2204Phone(347) 513-2110FaxUnlisted FaxMailing LocationMailing Address3488 Fish Ave, 1a, Bronx, NY 10469-2204Phone(347) 513-2110FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense705142New York