Individual ProviderJohn Christian CerenzioPharmacistPharmacy Service ProvidersPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5493(718) 250-8000(347) 853-6676PECOS EnrollmentBased on the most recent information from CMS, provider John Christian Cerenzio 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 4 days ago.Profile DetailsProvider ID1457963647Provider TypeIndividualFull NameCerenzio, John ChristianGenderMaleSole ProprietorYesEnumeration Date8/19/2020Last Updated8/19/2020Contact InformationPractice LocationPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5493Phone(718) 250-8000FaxUnlisted FaxMailing LocationMailing Address89 Kelvin Ave, Staten Island, NY 10306-3712Phone(347) 853-6676FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense066786New York