Individual ProviderAntonieth Enoghayin OsulaRegistered NurseNursing Service ProvidersPractice Address85 Riverdale Ave, Apt. A615, Yonkers, NY 10701-4604(914) 258-3896PECOS EnrollmentBased on the most recent information from CMS, provider Antonieth Enoghayin Osula 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 ID1922402627Provider TypeIndividualFull NameOsula, Antonieth EnoghayinGenderFemaleSole ProprietorYesEnumeration Date10/9/2014Last Updated10/9/2014Contact InformationPractice LocationPractice Address85 Riverdale Ave, Apt. A615, Yonkers, NY 10701-4604Phone(914) 258-3896FaxUnlisted FaxMailing LocationMailing Address85 Riverdale Ave Apt A615, Yonkers, NY 10701-4642Phone(914) 258-3896FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense688806New York