Individual ProviderDesmay HolnessSpecialistOther Service ProvidersPractice Address329 E 149th St Fl 4, Bronx, NY 10451-5626(718) 769-2698PECOS EnrollmentBased on the most recent information from CMS, provider Desmay Holness 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 ID1215577853Provider TypeIndividualFull NameHolness, DesmayCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date1/12/2020Last Updated1/12/2020Contact InformationPractice LocationPractice Address329 E 149th St Fl 4, Bronx, NY 10451-5626Phone(718) 769-2698FaxUnlisted FaxMailing LocationMailing Address17034 130th Ave Apt 11b, Jamaica, NY 11434-6012PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense324953New York