Erika Keaster | Holbrook, NY • PECOS Search

Erika Keaster

Specialist

Other Service Providers

40 Fox Ct, Holbrook, NY 11741-5300

PECOS Enrollment

Based on the most recent information from CMS, provider Erika Keaster does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:04 PM.

Profile Details

Provider ID
1053979567
Provider Type
Individual
Full Name
Keaster, Erika
Gender
Female

Sole Proprietor
Yes
Enumeration Date
5/30/2019
Last Updated
5/30/2019

Contact Information

Practice Location

40 Fox Ct, Holbrook, NY 11741-5300

Unlisted Fax

Mailing Location

40 Fox Ct, Holbrook, NY 11741-5300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer