Individual ProviderTara Linette PoynerLicensed Practical NurseNursing Service ProvidersPractice Address7 Pondview Dr Apt 13, East Patchogue, NY 11772-6838(631) 627-8296PECOS EnrollmentBased on the most recent information from CMS, provider Tara Linette Poyner 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 ID1225380132Provider TypeIndividualFull NamePoyner, Tara LinetteGenderFemaleSole ProprietorYesEnumeration Date10/3/2012Last Updated10/3/2012Contact InformationPractice LocationPractice Address7 Pondview Dr Apt 13, East Patchogue, NY 11772-6838Phone(631) 627-8296FaxUnlisted FaxMailing LocationMailing Address7 Pondview Dr Apt 13, East Patchogue, NY 11772-6838Phone(631) 627-8296FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense300241New York