Individual ProviderBonnie EppsLicensed Practical NurseNursing Service ProvidersPractice Address28 Park Ave Apt 6, Amityville, NY 11701-3156(315) 664-5661PECOS EnrollmentBased on the most recent information from CMS, provider Bonnie Epps 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 yesterday at 9:43 AM.Profile DetailsProvider ID1184268898Provider TypeIndividualFull NameEpps, BonnieTitleMs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date11/6/2019Last Updated11/6/2019Contact InformationPractice LocationPractice Address28 Park Ave Apt 6, Amityville, NY 11701-3156Phone(315) 664-5661FaxUnlisted FaxMailing LocationMailing Address28 Park Ave Apt 6, Amityville, NY 11701-3156Phone(315) 664-5661FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense264745New York