Individual ProviderShanakaye Ellis LyonsLicensed Practical NurseNursing Service ProvidersPractice Address21 E Avon Dr, Amityville, NY 11701-2023(646) 417-3241PECOS EnrollmentBased on the most recent information from CMS, provider Shanakaye Ellis Lyons 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 ID1093453078Provider TypeIndividualFull NameEllis Lyons, ShanakayeGenderFemaleSole ProprietorNoEnumeration Date5/20/2022Last Updated5/20/2022Contact InformationPractice LocationPractice Address21 E Avon Dr, Amityville, NY 11701-2023Phone(646) 417-3241FaxUnlisted FaxMailing LocationMailing Address21 E Avon Dr, Amityville, NY 11701-2023Phone(646) 417-3241FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense343771New York