Individual ProviderLatasha YanceyLicensed Practical NurseNursing Service ProvidersPractice Address53 Dunbar St, Amityville, NY 11701-1527(631) 201-9751PECOS EnrollmentBased on the most recent information from CMS, provider Latasha Yancey 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 ID1528557758Provider TypeIndividualFull NameYancey, LatashaGenderFemaleSole ProprietorYesEnumeration Date5/3/2018Last Updated5/3/2018Contact InformationPractice LocationPractice Address53 Dunbar St, Amityville, NY 11701-1527Phone(631) 201-9751FaxUnlisted FaxMailing LocationMailing Address53 Dunbar St, Amityville, NY 11701-1527Phone(631) 201-9751FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense331566-1New York