Individual ProviderRachelle DelvaLicensed Practical NurseNursing Service ProvidersPractice Address37 Brefni St, Amityville, NY 11701-1400(631) 575-0816PECOS EnrollmentBased on the most recent information from CMS, provider Rachelle Delva 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 ID1194145631Provider TypeIndividualFull NameDelva, RachelleGenderFemaleSole ProprietorNoEnumeration Date4/23/2014Last Updated4/23/2014Contact InformationPractice LocationPractice Address37 Brefni St, Amityville, NY 11701-1400Phone(631) 575-0816FaxUnlisted FaxMailing LocationMailing Address37 Brefni St, Amityville, NY 11701-1400Phone(631) 575-0816FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense318094New York