Individual ProviderTyler Shenk-FoleyPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2553(718) 630-8718PECOS EnrollmentBased on the most recent information from CMS, provider Tyler Shenk-Foley 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 today at 9:43 AM.Profile DetailsProvider ID1962789032Provider TypeIndividualFull NameShenk-Foley, TylerCredentialPA-CGenderMaleSole ProprietorNoEnumeration Date11/3/2011Last Updated11/3/2011Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2553Phone(718) 630-8718FaxUnlisted FaxMailing LocationMailing Address698 4th Ave, Apt 2, Brooklyn, NY 11232-1237PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense015281-1New York