Individual ProviderTamika MedlinRegistered NurseNursing Service ProvidersPractice Address1 Moriah Ln, Middletown, NY 10940-3346(914) 629-0819PECOS EnrollmentBased on the most recent information from CMS, provider Tamika Medlin 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 ID1841708260Provider TypeIndividualFull NameMedlin, TamikaGenderFemaleSole ProprietorYesEnumeration Date1/19/2018Last Updated1/19/2018Contact InformationPractice LocationPractice Address1 Moriah Ln, Middletown, NY 10940-3346Phone(914) 629-0819FaxUnlisted FaxMailing LocationMailing Address1 Moriah Ln, Middletown, NY 10940-3346PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense581802New York