Individual ProviderSara Marie WestphalRegistered NurseNursing Service ProvidersPractice Address129 Jimal Dr, Middletown, NY 10940-3656(845) 775-8074PECOS EnrollmentBased on the most recent information from CMS, provider Sara Marie Westphal 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 ID1255850822Provider TypeIndividualFull NameWestphal, Sara MarieGenderFemaleSole ProprietorYesEnumeration Date9/14/2017Last Updated2/23/2023Contact InformationPractice LocationPractice Address129 Jimal Dr, Middletown, NY 10940-3656Phone(845) 775-8074Fax(845) 775-8074Mailing LocationMailing Address129 Jimal Dr, Middletown, NY 10940-3656Phone(845) 775-8074FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense870630-01New YorkCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense329506-1New York