Angela Mattox | Bronx, NY • PECOS Search

Angela Mattox

Specialist

Other Service Providers

329 E 149th St, Bronx, NY 10451-5601

PECOS Enrollment

Based on the most recent information from CMS, provider Angela Mattox does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1114329307
Provider Type
Individual
Full Name
Mattox, Angela
Title
Mrs.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/19/2014
Last Updated
9/19/2014

Contact Information

Practice Location

329 E 149th St, Bronx, NY 10451-5601

Unlisted Fax

Mailing Location

32 Fox Den Rd, Danbury, CT 06811-3424

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer New York