Individual ProviderMaria T Van DykeStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address257 Main St, Binghamton, NY 13905-2522(607) 729-6206(607) 753-0234PECOS EnrollmentBased on the most recent information from CMS, provider Maria T Van Dyke 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 10 days ago.Profile DetailsProvider ID1508550120Provider TypeIndividualFull NameVan Dyke, Maria TGenderFemaleSole ProprietorNoEnumeration Date6/6/2023Last Updated6/6/2023Contact InformationPractice LocationPractice Address257 Main St, Binghamton, NY 13905-2522Phone(607) 729-6206FaxUnlisted FaxMailing LocationMailing Address165 Main St Ste A, Cortland, NY 13045-3191Phone(607) 753-0234FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer