Individual ProviderGabrielle BerrettaLicensed Practical NurseNursing Service ProvidersPractice Address56 Thorne St, Patchogue, NY 11772-2838(631) 552-2149PECOS EnrollmentBased on the most recent information from CMS, provider Gabrielle Berretta 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 2 days ago.Profile DetailsProvider ID1053181818Provider TypeIndividualFull NameBerretta, GabrielleGenderFemaleSole ProprietorYesEnumeration Date1/3/2024Last Updated1/3/2024Contact InformationPractice LocationPractice Address56 Thorne St, Patchogue, NY 11772-2838Phone(631) 552-2149FaxUnlisted FaxMailing LocationMailing Address56 Thorne St, Patchogue, NY 11772-2838Phone(631) 552-2149FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense348592New York