Individual ProviderStephanie RuizSocial WorkerBehavioral Health & Social Service ProvidersPractice Address53 Deirdre Ct, Staten Island, NY 10304-2400(347) 731-9562PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Ruiz 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 11:47 AM.Profile DetailsProvider ID1568155927Provider TypeIndividualFull NameRuiz, StephanieGenderFemaleSole ProprietorYesEnumeration Date5/31/2023Last Updated5/31/2023Contact InformationPractice LocationPractice Address53 Deirdre Ct, Staten Island, NY 10304-2400Phone(347) 731-9562FaxUnlisted FaxMailing LocationMailing Address53 Deirdre Ct, Staten Island, NY 10304-2400PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense11420801New York