Individual ProviderAlison RosenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1250 Broadway Ave, New York, NY 10001(631) 258-4379PECOS EnrollmentBased on the most recent information from CMS, provider Alison Rosen is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:56 PM.Profile DetailsProvider ID1417473869Provider TypeIndividualFull NameRosen, AlisonGenderFemaleSole ProprietorYesEnumeration Date8/17/2017Last Updated8/17/2017Contact InformationPractice LocationPractice Address1250 Broadway Ave, New York, NY 10001Phone(631) 258-4379FaxUnlisted FaxMailing LocationMailing Address282 Jefferson Ave, Franklin Square, NY 11010-1628PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense081864New York