Individual ProviderRobyn Suzanne PortLicensed Practical NurseNursing Service ProvidersPractice Address17 Danamarie Ln, East Patchogue, NY 11772-5609(516) 298-6005PECOS EnrollmentBased on the most recent information from CMS, provider Robyn Suzanne Port 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 ID1336586262Provider TypeIndividualFull NamePort, Robyn SuzanneCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date6/1/2013Last Updated6/1/2013Contact InformationPractice LocationPractice Address17 Danamarie Ln, East Patchogue, NY 11772-5609Phone(516) 298-6005FaxUnlisted FaxMailing LocationMailing Address17 Danamarie Ln, East Patchogue, NY 11772-5609Phone(516) 298-6005FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense314521New York