Individual ProviderConnor Harrison FleischackerCounselorBehavioral Health & Social Service ProvidersPractice Address53 Perry Rd, Bedford, NH 03110-4525(215) 595-4790PECOS EnrollmentBased on the most recent information from CMS, provider Connor Harrison Fleischacker 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 2 days ago.Profile DetailsProvider ID1417733148Provider TypeIndividualFull NameFleischacker, Connor HarrisonTitleMr.GenderMaleSole ProprietorYesEnumeration Date9/7/2023Last Updated9/7/2023Contact InformationPractice LocationPractice Address53 Perry Rd, Bedford, NH 03110-4525Phone(215) 595-4790FaxUnlisted FaxMailing LocationMailing Address53 Perry Rd, Bedford, NH 03110-4525Phone(215) 595-4790FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense18-P124521-01New York