Individual ProviderAbigail ClarkeRegistered NurseNursing Service ProvidersPractice Address3525 Tiemann Ave, Bronx, NY 10469-1636(347) 852-6397PECOS EnrollmentBased on the most recent information from CMS, provider Abigail Clarke 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 7 days ago.Profile DetailsProvider ID1801476452Provider TypeIndividualFull NameClarke, AbigailGenderFemaleSole ProprietorNoEnumeration Date4/8/2021Last Updated4/8/2021Contact InformationPractice LocationPractice Address3525 Tiemann Ave, Bronx, NY 10469-1636Phone(347) 852-6397FaxUnlisted FaxMailing LocationMailing Address3525 Tiemann Ave, Bronx, NY 10469-1636PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense781790New York