Individual ProviderLinda NazryanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address107 Bayview Ave, Port Washington, NY 11050-3531(516) 767-1655PECOS EnrollmentBased on the most recent information from CMS, provider Linda Nazryan 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 ID1669512869Provider TypeIndividualFull NameNazryan, LindaTitleMs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/7/2007Last Updated12/12/2014Contact InformationPractice LocationPractice Address107 Bayview Ave, Port Washington, NY 11050-3531Phone(516) 767-1655FaxUnlisted FaxMailing LocationMailing Address107 Bayview Ave, Port Washington, NY 11050-3531Phone(516) 767-1655FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseR027316-1New York