Nancy Ellen Hertel | Holbrook, NY • PECOS Search

Nancy Ellen Hertel

Specialist

Other Service Providers

38 Buckingham Dr, Holbrook, NY 11741-2880

(631) 738-0311 (631) 748-0308

PECOS Enrollment

Based on the most recent information from CMS, provider Nancy Ellen Hertel 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
1174205736
Provider Type
Individual
Full Name
Hertel, Nancy Ellen
Gender
Female

Sole Proprietor
No
Enumeration Date
8/3/2023
Last Updated
8/3/2023

Contact Information

Practice Location

38 Buckingham Dr, Holbrook, NY 11741-2880

Unlisted Fax

Mailing Location

20 Wiltshire Dr, Commack, NY 11725-3321

Unlisted Fax

Provider Taxonomies

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