Individual ProviderLisa FerraraSpecialistOther Service ProvidersPractice Address75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Ferrara 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 6 days ago.Profile DetailsProvider ID1538721097Provider TypeIndividualFull NameFerrara, LisaGenderFemaleSole ProprietorNoEnumeration Date7/5/2019Last Updated7/5/2019Contact InformationPractice LocationPractice Address75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address75 Crystal Run Rd Ste 201, Middletown, NY 10941-7010Phone(845) 692-4391FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense701869961New York