Individual ProviderDornell Michael HenriquesRegistered NurseNursing Service ProvidersPractice Address3420 Edson Ave, Bronx, NY 10469-2609(718) 502-7772PECOS EnrollmentBased on the most recent information from CMS, provider Dornell Michael Henriques 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 7 days ago.Profile DetailsProvider ID1932929619Provider TypeIndividualFull NameHenriques, Dornell MichaelCredentialRNGenderMaleSole ProprietorYesEnumeration Date10/16/2024Last Updated10/16/2024Contact InformationPractice LocationPractice Address3420 Edson Ave, Bronx, NY 10469-2609Phone(718) 502-7772FaxUnlisted FaxMailing LocationMailing Address3420 Edson Ave, Bronx, NY 10469-2609Phone(718) 502-7772FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense802422New York