Individual ProviderAdrian ThompsonStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address60 Haven Ave Apt 17e, New York, NY 10032-0571(516) 780-5462PECOS EnrollmentBased on the most recent information from CMS, provider Adrian Thompson 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 ID1609615053Provider TypeIndividualFull NameThompson, AdrianGenderMaleSole ProprietorNoEnumeration Date5/23/2024Last Updated5/23/2024Contact InformationPractice LocationPractice Address60 Haven Ave Apt 17e, New York, NY 10032-0571Phone(516) 780-5462FaxUnlisted FaxMailing LocationMailing Address60 Haven Ave Apt 17e, New York, NY 10032-0571PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer