Individual ProviderJoanna DeangelisPharmacistPharmacy Service ProvidersPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5425(908) 361-9302PECOS EnrollmentBased on the most recent information from CMS, provider Joanna Deangelis 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 4 days ago.Profile DetailsProvider ID1194343939Provider TypeIndividualFull NameDeangelis, JoannaGenderFemaleSole ProprietorYesEnumeration Date7/8/2020Last Updated7/8/2020Contact InformationPractice LocationPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5425Phone(908) 361-9302FaxUnlisted FaxMailing LocationMailing Address1538 New York Ave Apt 5f, Brooklyn, NY 11210-2771PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense26643Maryland