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 32 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