Individual ProviderKatya CabreraLicensed Practical NurseNursing Service ProvidersPractice Address8 Coolidge Ave, North Amityville, NY 11701(631) 703-1830PECOS EnrollmentBased on the most recent information from CMS, provider Katya Cabrera 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 9:43 AM.Profile DetailsProvider ID1013427400Provider TypeIndividualFull NameCabrera, KatyaCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date10/11/2017Last Updated10/11/2017Contact InformationPractice LocationPractice Address8 Coolidge Ave, North Amityville, NY 11701Phone(631) 703-1830FaxUnlisted FaxMailing LocationMailing Address8 Coolidge Ave, North Amityville, NY 11701PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense329082-1New York