Individual ProviderSandra DecouteSpecialistOther Service ProvidersPractice Address93 Moonlightwalk, 93, Holbrook, NY 11741-4923(631) 258-8875PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Decoute 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 12:04 PM.Profile DetailsProvider ID1518366731Provider TypeIndividualFull NameDecoute, SandraGenderFemaleSole ProprietorYesEnumeration Date8/14/2014Last Updated8/14/2014Contact InformationPractice LocationPractice Address93 Moonlightwalk, 93, Holbrook, NY 11741-4923Phone(631) 258-8875FaxUnlisted FaxMailing LocationMailing Address93 Moonlightwalk, 93, Holbrook, NY 11741-4923Phone(631) 258-8875FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicense718545131New York