Individual ProviderCecile AmisialNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2054(718) 245-3131(917) 863-2889PECOS EnrollmentBased on the most recent information from CMS, provider Cecile Amisial 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 ID1558803478Provider TypeIndividualFull NameAmisial, CecileGenderFemaleSole ProprietorYesEnumeration Date11/9/2016Last Updated11/14/2016Contact InformationPractice LocationPractice Address451 Clarkson Ave, Brooklyn, NY 11203-2054Phone(718) 245-3131FaxUnlisted FaxMailing LocationMailing Address25911 148th Rd, Jamaica, NY 11422-2903Phone(917) 863-2889FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF 3406501New York