Danie E Mentor | Amityville, NY • PECOS Search

Danie E Mentor

Licensed Practical Nurse

Nursing Service Providers

373 Broadway, Amityville, NY 11701-2707

PECOS Enrollment

Based on the most recent information from CMS, provider Danie E Mentor 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 9:43 AM.

Profile Details

Provider ID
1013358571
Provider Type
Individual
Full Name
Mentor, Danie E
Gender
Female

Sole Proprietor
Yes
Enumeration Date
7/12/2013
Last Updated
7/12/2013

Contact Information

Practice Location

373 Broadway, Amityville, NY 11701-2707

Unlisted Fax

Mailing Location

373 Broadway, Amityville, NY 11701-2707

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 314674 New York