Jennifer Marie Dilluvio | Holbrook, NY • PECOS Search

Jennifer Marie Dilluvio

Specialist

Other Service Providers

28 Ballad Cir, Holbrook, NY 11741-3807

PECOS Enrollment

Based on the most recent information from CMS, provider Jennifer Marie Dilluvio does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:04 PM.

Profile Details

Provider ID
1932531134
Provider Type
Individual
Full Name
Dilluvio, Jennifer Marie
Title
Mrs.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/30/2013
Last Updated
6/20/2016

Contact Information

Practice Location

28 Ballad Cir, Holbrook, NY 11741-3807

Unlisted Fax

Mailing Location

28 Ballad Cir, Holbrook, NY 11741-3807

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 2212961 New York