Boysie A. Grannell | Bronx, NY • PECOS Search

Boysie A. Grannell

Registered Nurse

Nursing Service Providers

3406 Bruner Ave, 1st Fl., Bronx, NY 10469-2662

PECOS Enrollment

Based on the most recent information from CMS, provider Boysie A. Grannell does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1861631285
Provider Type
Individual
Full Name
Grannell, Boysie A.
Title
Mr.
Credential
RN

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/9/2009
Last Updated
2/9/2009

Contact Information

Practice Location

3406 Bruner Ave, 1st Fl., Bronx, NY 10469-2662

Unlisted Fax

Mailing Location

3406 Bruner Ave, 1st Fl., Bronx, NY 10469-2662

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 536701 New York