Individual ProviderAnnette SmartRegistered NurseNursing Service ProvidersPractice Address6 Park Circle Dr, Middletown, NY 10940-2911(347) 573-1140PECOS EnrollmentBased on the most recent information from CMS, provider Annette Smart 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 ID1578889861Provider TypeIndividualFull NameSmart, AnnetteGenderFemaleSole ProprietorYesEnumeration Date4/13/2010Last Updated4/13/2010Contact InformationPractice LocationPractice Address6 Park Circle Dr, Middletown, NY 10940-2911Phone(347) 573-1140FaxUnlisted FaxMailing LocationMailing Address6 Park Circle Dr, Middletown, NY 10940-2911Phone(347) 573-1140FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense594431-1New York