Individual ProviderErica Regina WilliamsonLicensed Practical NurseNursing Service ProvidersPractice Address250 River Ave, Apt 141, Patchogue, NY 11772(631) 901-6118PECOS EnrollmentBased on the most recent information from CMS, provider Erica Regina Williamson 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 ID1508272758Provider TypeIndividualFull NameWilliamson, Erica ReginaCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date7/9/2014Last Updated7/9/2014Contact InformationPractice LocationPractice Address250 River Ave, Apt 141, Patchogue, NY 11772Phone(631) 901-6118FaxUnlisted FaxMailing LocationMailing Address250 River Ave, Apt 141, Patchogue, NY 11772Phone(631) 901-6118FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense3184371New YorkProvider IdentifiersIDDescriptionIssuerID972771301DescriptionOtherIssuerDRIVER LICENSE NUMBERNew York