Individual ProviderRony FabienNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2015 Grand Concourse, Bronx, NY 10453(718) 618-0401PECOS EnrollmentBased on the most recent information from CMS, provider Rony Fabien is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1932391026Provider TypeIndividualFull NameFabien, RonyTitleMr.CredentialNPGenderMaleSole ProprietorNoEnumeration Date8/14/2007Last Updated6/4/2018Contact InformationPractice LocationPractice Address2015 Grand Concourse, Bronx, NY 10453Phone(718) 618-0401FaxUnlisted FaxMailing LocationMailing Address2015 Grand Concourse, Bronx, NY 10453-4303PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense334255New York