Individual ProviderDara HermanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address85 W Burnside Ave, Bronx, NY 10453-4015(718) 483-1270PECOS EnrollmentBased on the most recent information from CMS, provider Dara Herman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1720449416Provider TypeIndividualFull NameHerman, DaraCredentialF.N.P.GenderFemaleSole ProprietorYesEnumeration Date3/9/2016Last Updated3/9/2016Contact InformationPractice LocationPractice Address85 W Burnside Ave, Bronx, NY 10453-4015Phone(718) 483-1270Fax(718) 228-7471Mailing LocationMailing Address85 W Burnside Ave, Bronx, NY 10453-4015Phone(718) 483-1270Fax(718) 228-7471Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF340219New York