Individual ProviderLeandra GillonLicensed Practical NurseNursing Service ProvidersPractice Address994 N Goodman St, Rochester, NY 14609-3934(585) 615-8103PECOS EnrollmentBased on the most recent information from CMS, provider Leandra Gillon 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 12:33 PM.Profile DetailsProvider ID1134713316Provider TypeIndividualFull NameGillon, LeandraCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date2/27/2021Last Updated2/27/2021Contact InformationPractice LocationPractice Address994 N Goodman St, Rochester, NY 14609-3934Phone(585) 615-8103FaxUnlisted FaxMailing LocationMailing Address994 N Goodman St, Rochester, NY 14609-3934Phone(585) 615-8103FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense340815-01New York