Individual ProviderDesiree DarrellLicensed Practical NurseNursing Service ProvidersPractice Address365 Broadway, Amityville, NY 11701-2716(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Desiree Darrell 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 ID1023521689Provider TypeIndividualFull NameDarrell, DesireeGenderFemaleSole ProprietorYesEnumeration Date11/6/2017Last Updated11/6/2017Contact InformationPractice LocationPractice Address365 Broadway, Amityville, NY 11701-2716Phone(631) 608-8523Fax(631) 608-8527Mailing LocationMailing Address365 Broadway, Amityville, NY 11701-2716Phone(631) 608-8523Fax(631) 608-8527Provider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense217546New York