Individual ProviderGrace Marcia ThompsonLicensed Practical NurseNursing Service ProvidersPractice Address373 Broadway, 2nd Floor, Amityville, NY 11701-2707(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Grace Marcia Thompson 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 ID1477825222Provider TypeIndividualFull NameThompson, Grace MarciaCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date2/8/2012Last Updated2/8/2012Contact InformationPractice LocationPractice Address373 Broadway, 2nd Floor, Amityville, NY 11701-2707Phone(631) 608-8523Fax(631) 608-8527Mailing LocationMailing Address373 Broadway, 2nd Floor, Amityville, NY 11701-2707PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense239053New York