Individual ProviderCharnell GulleyLicensed Practical NurseNursing Service ProvidersPractice Address28 Walnut Rd, Amityville, NY 11701-1021(631) 624-6539PECOS EnrollmentBased on the most recent information from CMS, provider Charnell Gulley 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 ID1245785435Provider TypeIndividualFull NameGulley, CharnellTitleMs.GenderFemaleSole ProprietorNoEnumeration Date8/17/2016Last Updated8/17/2016Contact InformationPractice LocationPractice Address28 Walnut Rd, Amityville, NY 11701-1021Phone(631) 624-6539FaxUnlisted FaxMailing LocationMailing Address28 Walnut Rd, Amityville, NY 11701-1021Phone(631) 624-6539FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense326363New York