Vicki Lynn Graziano | Holbrook, NY • PECOS Search

Vicki Lynn Graziano

Specialist

Other Service Providers

38 Buckingham Dr, Holbrook, NY 11741-2880

(631) 738-0310 (631) 834-3484

PECOS Enrollment

Based on the most recent information from CMS, provider Vicki Lynn Graziano does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:04 PM.

Profile Details

Provider ID
1154004067
Provider Type
Individual
Full Name
Graziano, Vicki Lynn
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/8/2023
Last Updated
8/8/2023

Contact Information

Practice Location

38 Buckingham Dr, Holbrook, NY 11741-2880

Unlisted Fax

Mailing Location

63 Washington Ave, Holtsville, NY 11742-1046

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer New York