Individual ProviderRuquaiyah CourtneyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address450 Clarkson Ave, Brooklyn, NY 11203-2012(718) 270-4551PECOS EnrollmentBased on the most recent information from CMS, provider Ruquaiyah Courtney 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 ID1811667892Provider TypeIndividualFull NameCourtney, RuquaiyahTitleMs.CredentialFNPGenderFemaleSole ProprietorNoEnumeration Date9/20/2021Last Updated9/20/2021Contact InformationPractice LocationPractice Address450 Clarkson Ave, Brooklyn, NY 11203-2012Phone(718) 270-4551FaxUnlisted FaxMailing LocationMailing Address450 Clarkson Ave, Brooklyn, NY 11203-2012Phone(718) 270-4551FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense0342596New York