Individual ProviderAmber BackerLicensed Practical NurseNursing Service ProvidersPractice Address101 Eimer St, Patchogue, NY 11772-2458(631) 617-7377PECOS EnrollmentBased on the most recent information from CMS, provider Amber Backer 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 ID1174321814Provider TypeIndividualFull NameBacker, AmberCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date3/7/2025Last Updated3/7/2025Contact InformationPractice LocationPractice Address101 Eimer St, Patchogue, NY 11772-2458Phone(631) 617-7377FaxUnlisted FaxMailing LocationMailing Address101 Eimer St, Patchogue, NY 11772-2458PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense364020New York