Individual ProviderM Ary I ThomasLicensed Practical NurseNursing Service ProvidersPractice Address647 N Dunton Ave, East Patchogue, NY 11772-4945(631) 803-2040PECOS EnrollmentBased on the most recent information from CMS, provider M Ary I Thomas 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 ID1568598472Provider TypeIndividualFull NameThomas, M Ary ICredentialLPNGenderFemaleSole ProprietorYesEnumeration Date2/26/2007Last Updated7/9/2007Contact InformationPractice LocationPractice Address647 N Dunton Ave, East Patchogue, NY 11772-4945Phone(631) 803-2040FaxUnlisted FaxMailing LocationMailing Address647 N Dunton Ave, East Patchogue, NY 11772-4945Phone(631) 803-2040FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense200643-1New YorkProvider IdentifiersIDDescriptionIssuerID01431929DescriptionMedicaidIssuerUnlistedNew York