Individual ProviderAllison GourdineLicensed Practical NurseNursing Service ProvidersPractice Address516 Edgecreek Trl, Rochester, NY 14609-1876(585) 354-4553PECOS EnrollmentBased on the most recent information from CMS, provider Allison Gourdine 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 12:33 PM.Profile DetailsProvider ID1912766585Provider TypeIndividualFull NameGourdine, AllisonGenderFemaleSole ProprietorYesEnumeration Date3/18/2024Last Updated3/18/2024Contact InformationPractice LocationPractice Address516 Edgecreek Trl, Rochester, NY 14609-1876Phone(585) 354-4553FaxUnlisted FaxMailing LocationMailing Address516 Edgecreek Trl, Rochester, NY 14609-1876Phone(585) 354-4553FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense339524New York