Individual ProviderMaryellen KeenanRegistered NurseNursing Service ProvidersPractice Address153 W 12th St, New York, NY 10011-8201(212) 604-8177PECOS EnrollmentBased on the most recent information from CMS, provider Maryellen Keenan 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 ID1851540272Provider TypeIndividualFull NameKeenan, MaryellenGenderFemaleSole ProprietorNoEnumeration Date9/10/2008Last Updated9/10/2008Contact InformationPractice LocationPractice Address153 W 12th St, New York, NY 10011-8201Phone(212) 604-8177Fax(212) 604-7568Mailing LocationMailing Address153 W 12th St, New York, NY 10011-8201Phone(212) 604-8177Fax(212) 604-7568Provider TaxonomiesCodeDescriptionLicenseCode163WP0809XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense329271New York