Individual ProviderMyriam FordSpecialistOther Service ProvidersPractice Address329 E 149th St, 4th Floor, Bronx, NY 10451-5601(718) 769-2968(718) 288-2008PECOS EnrollmentBased on the most recent information from CMS, provider Myriam Ford 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 ID1336523067Provider TypeIndividualFull NameFord, MyriamTitleMs.CredentialR.N.GenderFemaleSole ProprietorYesEnumeration Date7/13/2015Last Updated7/13/2015Contact InformationPractice LocationPractice Address329 E 149th St, 4th Floor, Bronx, NY 10451-5601Phone(718) 769-2968FaxUnlisted FaxMailing LocationMailing Address988 E 37th St, #1, Brooklyn, NY 11210-3432Phone(718) 288-2008FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense5784611New YorkProvider IdentifiersIDDescriptionIssuerID396637DescriptionOtherIssuerPUBLIC SCHOOL TEACHER CERTIFICATENew York