Individual ProviderMary G WynneNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Woods Rd, Valhalla, NY 10595-1530(914) 493-7000PECOS EnrollmentBased on the most recent information from CMS, provider Mary G Wynne 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 3 days ago.Profile DetailsProvider ID1982175485Provider TypeIndividualFull NameWynne, Mary GGenderFemaleSole ProprietorNoEnumeration Date12/9/2018Last Updated12/9/2018Contact InformationPractice LocationPractice Address100 Woods Rd, Valhalla, NY 10595-1530Phone(914) 493-7000FaxUnlisted FaxMailing LocationMailing Address314 W Washington Ave, Pearl River, NY 10965-2154PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense331679New York