Individual ProviderSandra Marie SmithLicensed Practical NurseNursing Service ProvidersPractice Address50 Strathmore Circle, Rochester, NY 14609(585) 214-9253(585) 266-6997PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Marie Smith 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 12:33 PM.Profile DetailsProvider ID1326289851Provider TypeIndividualFull NameSmith, Sandra MarieTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date3/12/2009Last Updated3/12/2009Contact InformationPractice LocationPractice Address50 Strathmore Circle, Rochester, NY 14609Phone(585) 214-9253FaxUnlisted FaxMailing LocationMailing Address69 Reliance Street, Rochester, NY 14621Phone(585) 266-6997FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense241019-1New YorkProvider IdentifiersIDDescriptionIssuerID02388732DescriptionMedicaidIssuerUnlistedNew York