Individual ProviderJessica TacuriSpecialistOther Service ProvidersPractice Address4421 5th Ave Apt 3l, Brooklyn, NY 11220-1222(347) 523-2147PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Tacuri 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 3 days ago.Profile DetailsProvider ID1821720707Provider TypeIndividualFull NameTacuri, JessicaCredentialM.S EDGenderFemaleSole ProprietorYesEnumeration Date6/28/2022Last Updated6/28/2022Contact InformationPractice LocationPractice Address4421 5th Ave Apt 3l, Brooklyn, NY 11220-1222Phone(347) 523-2147FaxUnlisted FaxMailing LocationMailing Address4421 5th Ave Apt 3l, Brooklyn, NY 11220-1222Phone(347) 523-2147FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense161916629New York