Sue E Kroll | East Patchogue, NY • PECOS Search

Sue E Kroll

Licensed Practical Nurse

Nursing Service Providers

38 Debbie Ln, East Patchogue, NY 11772-4238

PECOS Enrollment

Based on the most recent information from CMS, provider Sue E Kroll does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1538316625
Provider Type
Individual
Full Name
Kroll, Sue E
Credential
LPN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/20/2008
Last Updated
8/20/2008

Contact Information

Practice Location

38 Debbie Ln, East Patchogue, NY 11772-4238

Unlisted Fax

Mailing Location

38 Debbie Ln, East Patchogue, NY 11772-4238

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 243040-1 New York