Individual ProviderNicole HarrisRegistered NurseNursing Service ProvidersPractice Address2054 Tillotson Ave, Bronx, NY 10475(718) 671-2100(914) 699-0022PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Harris 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 yesterday at 9:43 AM.Profile DetailsProvider ID1902152655Provider TypeIndividualFull NameHarris, NicoleCredentialRNGenderFemaleSole ProprietorYesEnumeration Date7/31/2012Last Updated11/13/2024Contact InformationPractice LocationPractice Address2054 Tillotson Ave, Bronx, NY 10475Phone(718) 671-2100FaxUnlisted FaxMailing LocationMailing Address9 W Prospect Ave Ste 310, Mount Vernon, NY 10550-2049Phone(914) 699-0022FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense765198New York