Individual ProviderMadeline RosarioLicensed Practical NurseNursing Service ProvidersPractice Address73 Swezey St Apt 1, Patchogue, NY 11772-4163(631) 394-6739PECOS EnrollmentBased on the most recent information from CMS, provider Madeline Rosario 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 ID1417568957Provider TypeIndividualFull NameRosario, MadelineCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date8/10/2020Last Updated8/11/2020Contact InformationPractice LocationPractice Address73 Swezey St Apt 1, Patchogue, NY 11772-4163Phone(631) 394-6739FaxUnlisted FaxMailing LocationMailing Address73 Swezey St, Patchogue, NY 11772-4163Phone(631) 394-6739FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense285635-1New YorkProvider IdentifiersIDDescriptionIssuerID2113DescriptionMedicaidIssuerUnlistedNew York