Individual ProviderPatricia HenryLicensed Practical NurseNursing Service ProvidersPractice Address21 Walnut Rd, Amityville, NY 11701-1020(631) 522-5619PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Henry 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 ID1043764137Provider TypeIndividualFull NameHenry, PatriciaGenderFemaleSole ProprietorYesEnumeration Date8/7/2016Last Updated8/7/2016Contact InformationPractice LocationPractice Address21 Walnut Rd, Amityville, NY 11701-1020Phone(631) 522-5619FaxUnlisted FaxMailing LocationMailing Address21 Walnut Rd, Amityville, NY 11701-1020Phone(631) 522-5619FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense322247New York