Individual ProviderLynn Marie CervoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address11626 Myrtle Ave, Richmond Hill, NY 11418-1748(917) 273-8095PECOS EnrollmentBased on the most recent information from CMS, provider Lynn Marie Cervo 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 ID1609060920Provider TypeIndividualFull NameCervo, Lynn MarieTitleMs.CredentialLCSWRGenderFemaleSole ProprietorYesEnumeration Date8/29/2007Last Updated8/29/2007Contact InformationPractice LocationPractice Address11626 Myrtle Ave, Richmond Hill, NY 11418-1748Phone(917) 273-8095FaxUnlisted FaxMailing LocationMailing Address11626 Myrtle Ave, Richmond Hill, NY 11418-1748Phone(917) 273-8095FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense052143-1New York