Individual ProviderLaisha Abigail MoralesPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address191 Saint Marys Ave, Staten Island, NY 10305-1714(718) 578-2354PECOS EnrollmentBased on the most recent information from CMS, provider Laisha Abigail Morales 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 6 days ago.Profile DetailsProvider ID1225742844Provider TypeIndividualFull NameMorales, Laisha AbigailCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date1/9/2023Last Updated1/9/2023Contact InformationPractice LocationPractice Address191 Saint Marys Ave, Staten Island, NY 10305-1714Phone(718) 578-2354FaxUnlisted FaxMailing LocationMailing Address191 Saint Marys Ave, Staten Island, NY 10305-1714Phone(718) 578-2354FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer