Individual ProviderGorathy OparaLicensed Practical NurseNursing Service ProvidersPractice Address365 Broadway, Amityville, NY 11701-2716(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Gorathy Opara 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 ID1245680628Provider TypeIndividualFull NameOpara, GorathyGenderFemaleSole ProprietorYesEnumeration Date6/16/2016Last Updated6/16/2016Contact InformationPractice LocationPractice Address365 Broadway, Amityville, NY 11701-2716Phone(631) 608-8523Fax(631) 608-8527Mailing LocationMailing Address365 Broadway, Amityville, NY 11701-2716Phone(631) 608-8523Fax(631) 608-8527Provider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense324560New York