Individual ProviderConstance WitRegistered NurseNursing Service ProvidersPractice Address20 Gardner Ave Ext, Middletown, NY 10940-3131(845) 326-1558PECOS EnrollmentBased on the most recent information from CMS, provider Constance Wit 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 ID1760748958Provider TypeIndividualFull NameWit, ConstanceCredentialRNGenderFemaleSole ProprietorYesEnumeration Date4/2/2012Last Updated4/2/2012Contact InformationPractice LocationPractice Address20 Gardner Ave Ext, Middletown, NY 10940-3131Phone(845) 326-1558FaxUnlisted FaxMailing LocationMailing Address20 Gardner Ave. Ext, Middletown, NY 10940Phone(845) 326-1558FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense25834-1New York