Individual ProviderRomy TheodoreRegistered NurseNursing Service ProvidersPractice Address16 Kingston Dr, Spring Valley, NY 10977-1206(845) 354-4532PECOS EnrollmentBased on the most recent information from CMS, provider Romy Theodore 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 ID1538468954Provider TypeIndividualFull NameTheodore, RomyCredentialRNGenderFemaleSole ProprietorYesEnumeration Date3/24/2011Last Updated3/24/2011Contact InformationPractice LocationPractice Address16 Kingston Dr, Spring Valley, NY 10977-1206Phone(845) 354-4532FaxUnlisted FaxMailing LocationMailing Address16 Kingston Dr, Spring Valley, NY 10977-1206Phone(845) 354-4532FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense520770-1New York