Individual ProviderSasha Nicole ReyesLicensed Practical NurseNursing Service ProvidersPractice Address59 Fernwood Park, Rochester, NY 14609-2670(585) 802-3419PECOS EnrollmentBased on the most recent information from CMS, provider Sasha Nicole Reyes 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 12:33 PM.Profile DetailsProvider ID1619783248Provider TypeIndividualFull NameReyes, Sasha NicoleGenderFemaleSole ProprietorYesEnumeration Date12/9/2024Last Updated12/9/2024Contact InformationPractice LocationPractice Address59 Fernwood Park, Rochester, NY 14609-2670Phone(585) 802-3419FaxUnlisted FaxMailing LocationMailing Address59 Fernwood Ave, Rochester, NY 14621-5623PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense351883-01New York