Individual ProviderAlexa PanebiancoSpecialistOther Service ProvidersPractice Address291 Muriel St, Holbrook, NY 11741-3819(631) 972-8687PECOS EnrollmentBased on the most recent information from CMS, provider Alexa Panebianco 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 12:04 PM.Profile DetailsProvider ID1114617008Provider TypeIndividualFull NamePanebianco, AlexaGenderFemaleSole ProprietorYesEnumeration Date5/12/2023Last Updated5/12/2023Contact InformationPractice LocationPractice Address291 Muriel St, Holbrook, NY 11741-3819Phone(631) 972-8687FaxUnlisted FaxMailing LocationMailing Address291 Muriel St, Holbrook, NY 11741-3819Phone(631) 972-8687FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense1707614231New York