Individual ProviderAnnie DuPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address730 58th St, Brooklyn, NY 11220-3917(718) 567-8808PECOS EnrollmentBased on the most recent information from CMS, provider Annie Du 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 today at 9:43 AM.Profile DetailsProvider ID1326452558Provider TypeIndividualFull NameDu, AnnieGenderFemaleSole ProprietorNoEnumeration Date6/16/2014Last Updated6/16/2014Contact InformationPractice LocationPractice Address730 58th St, Brooklyn, NY 11220-3917Phone(718) 567-8808Fax(718) 567-8820Mailing LocationMailing Address730 58th St, Brooklyn, NY 11220-3917Phone(718) 567-8808Fax(718) 567-8820Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense017274-1New YorkCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseMA056657PennsylvaniaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense25MP00326300New Jersey