Individual ProviderJulianne GallegoLicensed Practical NurseNursing Service ProvidersPractice Address502 Hagerman Ave, East Patchogue, NY 11772-4924(631) 316-3813PECOS EnrollmentBased on the most recent information from CMS, provider Julianne Gallego 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 ID1215367636Provider TypeIndividualFull NameGallego, JulianneTitleMissCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date11/21/2013Last Updated11/21/2013Contact InformationPractice LocationPractice Address502 Hagerman Ave, East Patchogue, NY 11772-4924Phone(631) 316-3813FaxUnlisted FaxMailing LocationMailing Address502 Hagerman Ave, East Patchogue, NY 11772-4924Phone(631) 316-3813FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense314748-1New York