Individual ProviderLori Morales RomanRegistered NurseNursing Service ProvidersPractice Address46 Dogwood Dr, Middletown, NY 10940-1802(845) 239-9646PECOS EnrollmentBased on the most recent information from CMS, provider Lori Morales Roman 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 ID1821409053Provider TypeIndividualFull NameMorales Roman, LoriGenderFemaleSole ProprietorYesEnumeration Date5/9/2014Last Updated5/9/2014Contact InformationPractice LocationPractice Address46 Dogwood Dr, Middletown, NY 10940-1802Phone(845) 239-9646FaxUnlisted FaxMailing LocationMailing Address46 Dogwood Dr, Middletown, NY 10940-1802Phone(845) 239-9646FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense5874431New York