Individual ProviderJacquelyn Ann FaberPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2500 Nesconset Hwy, Stony Brook, NY 11790-2555(631) 751-7988PECOS EnrollmentBased on the most recent information from CMS, provider Jacquelyn Ann Faber 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 ID1093810558Provider TypeIndividualFull NameFaber, Jacquelyn AnnCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date9/13/2006Last Updated4/11/2015Contact InformationPractice LocationPractice Address2500 Nesconset Hwy, Stony Brook, NY 11790-2555Phone(631) 751-7988Fax(631) 751-7989Mailing LocationMailing Address2500 Nesconset Hwy, Stony Brook, NY 11790-2555Phone(631) 751-7988Fax(631) 751-7989Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense028485New York