Individual ProviderShanyc DifioreLicensed Practical NurseNursing Service ProvidersPractice Address108 Revella St, Rochester, NY 14609-3710(585) 489-3932PECOS EnrollmentBased on the most recent information from CMS, provider Shanyc Difiore 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 ID1700338001Provider TypeIndividualFull NameDifiore, ShanycGenderFemaleSole ProprietorYesEnumeration Date11/2/2016Last Updated11/2/2016Contact InformationPractice LocationPractice Address108 Revella St, Rochester, NY 14609-3710Phone(585) 489-3932FaxUnlisted FaxMailing LocationMailing Address108 Revella St, Rochester, NY 14609-3710PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense323383New York