Individual ProviderChristina BrunquellLicensed Practical NurseNursing Service ProvidersPractice Address10 E 4th St, Apt B, Patchogue, NY 11772-2326(631) 433-0956PECOS EnrollmentBased on the most recent information from CMS, provider Christina Brunquell 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 ID1073047304Provider TypeIndividualFull NameBrunquell, ChristinaCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date4/13/2017Last Updated4/13/2017Contact InformationPractice LocationPractice Address10 E 4th St, Apt B, Patchogue, NY 11772-2326Phone(631) 433-0956FaxUnlisted FaxMailing LocationMailing Address10 E 4th St, Apt B, Patchogue, NY 11772-2326Phone(631) 433-0956FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense322115-1New York