Sylvia G Ralph | Patchogue, NY • PECOS Search

Sylvia G Ralph

Licensed Practical Nurse

Nursing Service Providers

22 W Main St, Suite 1, Patchogue, NY 11772-3052

PECOS Enrollment

Based on the most recent information from CMS, provider Sylvia G Ralph 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 2 days ago.

Profile Details

Provider ID
1174833859
Provider Type
Individual
Full Name
Ralph, Sylvia G
Title
Miss
Credential
LPN

Gender
Female
Sole Proprietor
No
Enumeration Date
10/15/2010
Last Updated
10/15/2010

Contact Information

Practice Location

22 W Main St, Suite 1, Patchogue, NY 11772-3052

Unlisted Fax

Mailing Location

22 W Main St, Suite 1, Patchogue, NY 11772-3052

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 246380-1 New York