Individual ProviderBerlyn BourdierdSpecialistOther Service ProvidersPractice Address329 E 149th St, Bronx, NY 10451-5625(718) 769-0108PECOS EnrollmentBased on the most recent information from CMS, provider Berlyn Bourdierd 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 ID1740748748Provider TypeIndividualFull NameBourdierd, BerlynGenderFemaleSole ProprietorNoEnumeration Date3/8/2019Last Updated3/8/2019Contact InformationPractice LocationPractice Address329 E 149th St, Bronx, NY 10451-5625Phone(718) 769-0108Fax(718) 401-0108Mailing LocationMailing Address329 E 149th St Fl 4, Bronx, NY 10451-5626PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer