Individual ProviderAlice KavanakudyRegistered NurseNursing Service ProvidersPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128(516) 849-2474PECOS EnrollmentBased on the most recent information from CMS, provider Alice Kavanakudy 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 3 days ago.Profile DetailsProvider ID1134628332Provider TypeIndividualFull NameKavanakudy, AliceGenderFemaleSole ProprietorYesEnumeration Date2/3/2018Last Updated2/3/2018Contact InformationPractice LocationPractice Address7925 Winchester Blvd, Queens Village, NY 11427-2128Phone(516) 849-2474FaxUnlisted FaxMailing LocationMailing Address2 Fourth Street, New Hyde Park, NY 11040PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense710029New York