Individual ProviderJulie EnyiemaRegistered NurseNursing Service ProvidersPractice Address3337 Mickle Ave, Bronx, NY 10469-2717(718) 314-2192PECOS EnrollmentBased on the most recent information from CMS, provider Julie Enyiema 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 ID1467624999Provider TypeIndividualFull NameEnyiema, JulieGenderFemaleSole ProprietorYesEnumeration Date3/25/2008Last Updated3/25/2008Contact InformationPractice LocationPractice Address3337 Mickle Ave, Bronx, NY 10469-2717Phone(718) 314-2192FaxUnlisted FaxMailing LocationMailing Address3337 Mickle Ave, Bronx, NY 10469-2717PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense459886-1New York