Individual ProviderAnita BoonyooNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Woods Rd, Valhalla, NY 10595-1530(914) 533-4111PECOS EnrollmentBased on the most recent information from CMS, provider Anita Boonyoo 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 ID1780201517Provider TypeIndividualFull NameBoonyoo, AnitaCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date6/27/2020Last Updated1/7/2022Contact InformationPractice LocationPractice Address100 Woods Rd, Valhalla, NY 10595-1530Phone(914) 533-4111FaxUnlisted FaxMailing LocationMailing Address100 Woods Rd Fl 3, Valhalla, NY 10595-1530Phone(914) 533-4111FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF345676New York