Individual ProviderNyeh Mabel SambaRegistered NurseNursing Service ProvidersPractice Address3330 Baychester Ave, Apt 2, Bronx, NY 10475-1514(347) 475-5356PECOS EnrollmentBased on the most recent information from CMS, provider Nyeh Mabel Samba 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 9:43 AM.Profile DetailsProvider ID1710437504Provider TypeIndividualFull NameSamba, Nyeh MabelTitleMissCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date10/5/2016Last Updated10/6/2016Contact InformationPractice LocationPractice Address3330 Baychester Ave, Apt 2, Bronx, NY 10475-1514Phone(347) 475-5356FaxUnlisted FaxMailing LocationMailing Address3330 Baychester Ave, Apt 2, Bronx, NY 10475-1514Phone(347) 475-5356FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense326122-1New York