Individual ProviderKlarenja NesivaLicensed Practical NurseNursing Service ProvidersPractice Address7 Campbell St, Amityville, NY 11701-1804(631) 264-5111PECOS EnrollmentBased on the most recent information from CMS, provider Klarenja Nesiva 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 ID1225485386Provider TypeIndividualFull NameNesiva, KlarenjaGenderFemaleSole ProprietorYesEnumeration Date5/18/2016Last Updated5/18/2016Contact InformationPractice LocationPractice Address7 Campbell St, Amityville, NY 11701-1804Phone(631) 264-5111FaxUnlisted FaxMailing LocationMailing Address7 Campbell St, Amityville, NY 11701-1804PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense324636New York