Individual ProviderMark Anthony FellowsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7 Ballad Pl, Stony Brook, NY 11790-2625(631) 689-7523PECOS EnrollmentBased on the most recent information from CMS, provider Mark Anthony Fellows 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 ID1629226972Provider TypeIndividualFull NameFellows, Mark AnthonyGenderMaleSole ProprietorYesEnumeration Date8/28/2008Last Updated8/28/2008Contact InformationPractice LocationPractice Address7 Ballad Pl, Stony Brook, NY 11790-2625Phone(631) 689-7523FaxUnlisted FaxMailing LocationMailing Address7 Ballad Pl, Stony Brook, NY 11790-2625Phone(631) 689-7523FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense011685New York