Individual ProviderEbonee Marlene BrownRegistered NurseNursing Service ProvidersPractice Address8 Harvest Hill Lane, Private House, Middletown, NY 10940-0000(347) 236-9382PECOS EnrollmentBased on the most recent information from CMS, provider Ebonee Marlene Brown 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 2 days ago.Profile DetailsProvider ID1538472063Provider TypeIndividualFull NameBrown, Ebonee MarleneCredentialRNGenderFemaleSole ProprietorYesEnumeration Date7/26/2010Last Updated9/30/2021Contact InformationPractice LocationPractice Address8 Harvest Hill Lane, Private House, Middletown, NY 10940-0000Phone(347) 236-9382FaxUnlisted FaxMailing LocationMailing Address8 Harvest Hill Ln, Middletown, Middletown, NY 10940-2614Phone(347) 236-9382FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense794763-01New YorkCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense279559-1New York