Individual ProviderErica M GradyLicensed Practical NurseNursing Service ProvidersPractice Address127 Jefferson Ave, Amityville, NY 11701(631) 252-0095PECOS EnrollmentBased on the most recent information from CMS, provider Erica M Grady 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 ID1083924716Provider TypeIndividualFull NameGrady, Erica MGenderFemaleSole ProprietorYesEnumeration Date10/15/2010Last Updated10/15/2010Contact InformationPractice LocationPractice Address127 Jefferson Ave, Amityville, NY 11701Phone(631) 252-0095FaxUnlisted FaxMailing LocationMailing Address127 Jefferson Ave, Amityville, NY 11701Phone(631) 252-0095FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense270594New York