Individual ProviderDonneika GrayRegistered NurseNursing Service ProvidersPractice Address1051 E 214th St, Bronx, NY 10469-1304(929) 374-8379PECOS EnrollmentBased on the most recent information from CMS, provider Donneika Gray 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 7 days ago.Profile DetailsProvider ID1568828549Provider TypeIndividualFull NameGray, DonneikaGenderFemaleSole ProprietorYesEnumeration Date1/7/2016Last Updated12/2/2021Contact InformationPractice LocationPractice Address1051 E 214th St, Bronx, NY 10469-1304Phone(929) 374-8379FaxUnlisted FaxMailing LocationMailing Address1051 E 214th St, Bronx, NY 10469-1304Phone(929) 374-8379FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense801857New YorkCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense10311490New York