Individual ProviderTara Sue FedermanSpecialistOther Service ProvidersPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Tara Sue Federman 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 ID1821343377Provider TypeIndividualFull NameFederman, Tara SueTitleMs.CredentialM.S. SPECIAL EDGenderFemaleSole ProprietorNoEnumeration Date7/20/2012Last Updated7/20/2012Contact InformationPractice LocationPractice Address2277 Goshen Tpke, Middletown, NY 10941-4032Phone(845) 692-4391Fax(845) 692-4397Mailing LocationMailing Address2277 Goshen Tpke, Middletown, NY 10941-4032Phone(845) 692-4391Fax(845) 692-4397Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerNew York