Individual ProviderPhi Phung DangRegistered NurseNursing Service ProvidersPractice Address1117 E 222nd St, Bronx, NY 10469-2615(646) 945-5675PECOS EnrollmentBased on the most recent information from CMS, provider Phi Phung Dang 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 ID1639912686Provider TypeIndividualFull NameDang, Phi PhungGenderFemaleSole ProprietorYesEnumeration Date6/17/2024Last Updated6/17/2024Contact InformationPractice LocationPractice Address1117 E 222nd St, Bronx, NY 10469-2615Phone(646) 945-5675FaxUnlisted FaxMailing LocationMailing Address1117 E 222nd St, Bronx, NY 10469-2615Phone(646) 945-5675FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense903028New York