Individual ProviderAmira A BennettRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(718) 465-7500(914) 320-0284PECOS EnrollmentBased on the most recent information from CMS, provider Amira A Bennett 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 3 days ago.Profile DetailsProvider ID1043025133Provider TypeIndividualFull NameBennett, Amira AGenderFemaleSole ProprietorNoEnumeration Date2/7/2025Last Updated2/7/2025Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(718) 465-7500FaxUnlisted FaxMailing LocationMailing Address17 Legere Ct, Wappingers Falls, NY 12590-6460Phone(914) 320-0284FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense743903New York