Individual ProviderIvory BrameLicensed Practical NurseNursing Service ProvidersPractice Address903 Montauk Hwy, East Patchogue, NY 11772-5438(631) 252-1861PECOS EnrollmentBased on the most recent information from CMS, provider Ivory Brame 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 ID1174058986Provider TypeIndividualFull NameBrame, IvoryCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date4/29/2017Last Updated4/29/2017Contact InformationPractice LocationPractice Address903 Montauk Hwy, East Patchogue, NY 11772-5438Phone(631) 252-1861FaxUnlisted FaxMailing LocationMailing Address903 Montauk Hwy, East Patchogue, NY 11772-5438Phone(631) 252-1861FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense279646-1New York