Individual ProviderJennie BokserCounselorBehavioral Health & Social Service ProvidersPractice Address2291 Victory Blvd, Staten Island, NY 10314-6625(718) 594-3444PECOS EnrollmentBased on the most recent information from CMS, provider Jennie Bokser 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 1:08 PM.Profile DetailsProvider ID1902421357Provider TypeIndividualFull NameBokser, JennieCredentialMHC-LPGenderFemaleSole ProprietorNoEnumeration Date6/11/2020Last Updated6/11/2020Contact InformationPractice LocationPractice Address2291 Victory Blvd, Staten Island, NY 10314-6625Phone(718) 594-3444FaxUnlisted FaxMailing LocationMailing Address199 Mosely Ave, Staten Island, NY 10312-4165Phone(718) 594-3444FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer