Individual ProviderShakira RileyRegistered NurseNursing Service ProvidersPractice Address80 Shale Dr, Middletown, NY 10940-7120(646) 326-1008PECOS EnrollmentBased on the most recent information from CMS, provider Shakira Riley 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 ID1720770563Provider TypeIndividualFull NameRiley, ShakiraGenderFemaleSole ProprietorYesEnumeration Date5/22/2023Last Updated5/22/2023Contact InformationPractice LocationPractice Address80 Shale Dr, Middletown, NY 10940-7120Phone(646) 326-1008FaxUnlisted FaxMailing LocationMailing Address80 Shale Dr, Middletown, NY 10940-7120PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense553337New York