Individual ProviderGwendolyn CodyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address1051 Riverside Dr, New York, NY 10032-1007(646) 774-6293PECOS EnrollmentBased on the most recent information from CMS, provider Gwendolyn Cody 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 ID1487282786Provider TypeIndividualFull NameCody, GwendolynTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/31/2020Last Updated6/10/2022Contact InformationPractice LocationPractice Address1051 Riverside Dr, New York, NY 10032-1007Phone(646) 774-6293FaxUnlisted FaxMailing LocationMailing Address1051 Riverside Dr, Box 91, Psychiatry, Residency Training Division, New York, NY 10032-1007PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer