Individual ProviderEdna GentilleRegistered NurseNursing Service ProvidersPractice Address8639 208th St, Apt 1a, Queens Village, NY 11427-1686(718) 217-5662PECOS EnrollmentBased on the most recent information from CMS, provider Edna Gentille 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 3 days ago.Profile DetailsProvider ID1477862407Provider TypeIndividualFull NameGentille, EdnaCredentialRNGenderFemaleSole ProprietorNoEnumeration Date9/24/2010Last Updated9/24/2010Contact InformationPractice LocationPractice Address8639 208th St, Apt 1a, Queens Village, NY 11427-1686Phone(718) 217-5662FaxUnlisted FaxMailing LocationMailing Address8639 208th St, Apt 1a, Queens Village, NY 11427-1686Phone(718) 217-5662FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense593042New YorkProvider IdentifiersIDDescriptionIssuerID593042DescriptionOtherIssuerRN LICENSENew York