Individual ProviderMartine Jacques LouisRegistered NurseNursing Service ProvidersPractice Address30 Collins Ave, Spring Valley, NY 10977-4744(845) 641-4169PECOS EnrollmentBased on the most recent information from CMS, provider Martine Jacques Louis 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 yesterday at 11:54 AM.Profile DetailsProvider ID1528364668Provider TypeIndividualFull NameLouis, Martine JacquesGenderFemaleSole ProprietorYesEnumeration Date2/8/2011Last Updated2/8/2011Contact InformationPractice LocationPractice Address30 Collins Ave, Spring Valley, NY 10977-4744Phone(845) 641-4169FaxUnlisted FaxMailing LocationMailing Address30 Collins Ave, Spring Valley, NY 10977-4744Phone(845) 641-4169FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense638915-1New York