Individual ProviderJoy B CooperLicensed Practical NurseNursing Service ProvidersPractice Address2515 Culver Rd Apt 122, Rochester, NY 14609-1712(585) 775-1740PECOS EnrollmentBased on the most recent information from CMS, provider Joy B Cooper 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 12:33 PM.Profile DetailsProvider ID1568025989Provider TypeIndividualFull NameCooper, Joy BCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date4/22/2019Last Updated4/22/2019Contact InformationPractice LocationPractice Address2515 Culver Rd Apt 122, Rochester, NY 14609-1712Phone(585) 775-1740FaxUnlisted FaxMailing LocationMailing Address2515 Culver Rd Apt 122, Rochester, NY 14609-1712Phone(585) 775-1740FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense326541New York