Masani Grayson | Bronx, NY • PECOS Search

Masani Grayson

Specialist

Other Service Providers

185 E 163rd St, Bronx, NY 10451-3250

PECOS Enrollment

Based on the most recent information from CMS, provider Masani Grayson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 8:41 AM.

Profile Details

Provider ID
1659880573
Provider Type
Individual
Full Name
Grayson, Masani
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/22/2017
Last Updated
7/21/2022

Contact Information

Practice Location

185 E 163rd St, Bronx, NY 10451-3250

Unlisted Fax

Mailing Location

185 E 163rd St, Bronx, NY 10451-3250

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 1172665171 New York