Individual ProviderMary E OlsenChiropractorChiropractic ProvidersPractice Address11 Renwick Avenue, Huntington, NY 11743-3044(631) 421-1248PECOS EnrollmentBased on the most recent information from CMS, provider Mary E Olsen 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 12:57 PM.Profile DetailsProvider ID1902968894Provider TypeIndividualFull NameOlsen, Mary ETitleDr.CredentialDCGenderFemaleSole ProprietorNoEnumeration Date12/15/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address11 Renwick Avenue, Huntington, NY 11743-3044Phone(631) 421-1248Fax(631) 421-1249Mailing LocationMailing Address11 Renwick Avenue, Huntington, NY 11743-3044Phone(631) 421-1248Fax(631) 421-1249Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseX0058661New York