Individual ProviderLanae PetrusCounselorBehavioral Health & Social Service ProvidersPractice Address16 Madison Sq W Fl 10, New York, NY 10010-1629(347) 947-7082PECOS EnrollmentBased on the most recent information from CMS, provider Lanae Petrus 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 today at 9:42 AM.Profile DetailsProvider ID1639930415Provider TypeIndividualFull NamePetrus, LanaeGenderFemaleSole ProprietorNoEnumeration Date1/19/2024Last Updated1/19/2024Contact InformationPractice LocationPractice Address16 Madison Sq W Fl 10, New York, NY 10010-1629Phone(347) 947-7082FaxUnlisted FaxMailing LocationMailing Address16 Madison Sq W Fl 10, New York, NY 10010-1629PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer