Individual ProviderSuma N/A SreekumarRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(718) 264-7500PECOS EnrollmentBased on the most recent information from CMS, provider Suma N/A Sreekumar 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 ID1538667183Provider TypeIndividualFull NameSreekumar, Suma N/ACredentialRNGenderFemaleSole ProprietorNoEnumeration Date1/29/2018Last Updated1/29/2018Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(718) 264-7500FaxUnlisted FaxMailing LocationMailing Address7925 Winchester Blvd, Queens Village, NY 11427-2128PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense426039New YorkProvider IdentifiersIDDescriptionIssuerID426039DescriptionMedicaidIssuerUnlistedNew York