Individual ProviderAnastasia AdefolayanRegistered NurseNursing Service ProvidersPractice Address958 E 221st St, Bronx, NY 10469-1016(718) 671-2100PECOS EnrollmentBased on the most recent information from CMS, provider Anastasia Adefolayan 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 ID1962731364Provider TypeIndividualFull NameAdefolayan, AnastasiaCredentialRNGenderFemaleSole ProprietorYesEnumeration Date12/14/2009Last Updated12/14/2009Contact InformationPractice LocationPractice Address958 E 221st St, Bronx, NY 10469-1016Phone(718) 671-2100FaxUnlisted FaxMailing LocationMailing Address958 E 221st St, Bronx, NY 10469-1016Phone(718) 671-2100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense585213New York