Individual ProviderTanequa CanadySpecialistOther Service ProvidersPractice Address329 E 149th St Fl 4, Bronx, NY 10451-5626(718) 769-2698PECOS EnrollmentBased on the most recent information from CMS, provider Tanequa Canady 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 ID1477022671Provider TypeIndividualFull NameCanady, TanequaGenderFemaleSole ProprietorNoEnumeration Date11/16/2018Last Updated11/16/2018Contact InformationPractice LocationPractice Address329 E 149th St Fl 4, Bronx, NY 10451-5626Phone(718) 769-2698FaxUnlisted FaxMailing LocationMailing Address329 E 149th St Fl 4, Bronx, NY 10451-5626Phone(718) 769-2698FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted IssuerNew YorkProvider IdentifiersIDDescriptionIssuerID174400000XDescriptionOtherIssuerSPECIALIST