Individual ProviderMichelle CarissimiSpecialistOther Service ProvidersPractice Address1464 76th St, Brooklyn, NY 11228-2408(347) 782-3257PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Carissimi 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 2 days ago.Profile DetailsProvider ID1942621941Provider TypeIndividualFull NameCarissimi, MichelleCredentialM.S.EDGenderFemaleSole ProprietorYesEnumeration Date12/18/2013Last Updated2/18/2014Contact InformationPractice LocationPractice Address1464 76th St, Brooklyn, NY 11228-2408Phone(347) 782-3257Fax(718) 443-3499Mailing LocationMailing Address1464 76th St, Brooklyn, NY 11228-2408Phone(347) 782-3257Fax(718) 443-3499Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense1637607New York