Sandra Ann Marshall | Brooklyn, NY • PECOS Search

Sandra Ann Marshall

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

451 Clarkson Ave, Kings County Hospital Center, Brooklyn, NY 11203

(718) 245-3131 (718) 629-0144

PECOS Enrollment

Based on the most recent information from CMS, provider Sandra Ann Marshall does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1780656132
Provider Type
Individual
Full Name
Marshall, Sandra Ann
Title
Ms.
Credential
FAMILY NURSE PRACTIT

Gender
Female
Sole Proprietor
No
Enumeration Date
2/1/2006
Last Updated
3/3/2016

Contact Information

Practice Location

451 Clarkson Ave, Kings County Hospital Center, Brooklyn, NY 11203

Unlisted Fax

Mailing Location

482 East 42 St, Brooklyn, NY 11203

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F331490 New York