Individual ProviderTara HiteshewSpecialistOther Service ProvidersPractice Address329 E 149th St Fl 4, Bronx, NY 10451-5626(718) 769-2698(203) 364-7297PECOS EnrollmentBased on the most recent information from CMS, provider Tara Hiteshew 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 yesterday at 8:41 AM.Profile DetailsProvider ID1215566500Provider TypeIndividualFull NameHiteshew, TaraGenderFemaleSole ProprietorNoEnumeration Date4/7/2020Last Updated4/7/2020Contact InformationPractice LocationPractice Address329 E 149th St Fl 4, Bronx, NY 10451-5626Phone(718) 769-2698FaxUnlisted FaxMailing LocationMailing Address419 Stanhope St, Brooklyn, NY 11237-4404Phone(203) 364-7297FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerNew York