Individual ProviderTamara HendricksRegistered NurseNursing Service ProvidersPractice Address3467 Eastchester Rd, Bronx, NY 10469-1618(347) 423-8989PECOS EnrollmentBased on the most recent information from CMS, provider Tamara Hendricks 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 ID1972029791Provider TypeIndividualFull NameHendricks, TamaraCredentialREGISTERED NURSEGenderFemaleSole ProprietorYesEnumeration Date8/15/2017Last Updated8/15/2017Contact InformationPractice LocationPractice Address3467 Eastchester Rd, Bronx, NY 10469-1618Phone(347) 423-8989FaxUnlisted FaxMailing LocationMailing Address3467 Eastchester Rd, Bronx, NY 10469-1618PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense583307New York