Individual ProviderPricilla A VasquezLicensed Practical NurseNursing Service ProvidersPractice Address260 Waverly Ave Apt 26, Patchogue, NY 11772(631) 902-2533PECOS EnrollmentBased on the most recent information from CMS, provider Pricilla A Vasquez 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 ID1578917431Provider TypeIndividualFull NameVasquez, Pricilla ACredentialLPNGenderFemaleSole ProprietorYesEnumeration Date4/18/2016Last Updated4/18/2016Contact InformationPractice LocationPractice Address260 Waverly Ave Apt 26, Patchogue, NY 11772Phone(631) 902-2533FaxUnlisted FaxMailing LocationMailing Address260 Waverly Ave Apt 26, Patchogue, NY 11772-2161Phone(631) 902-2533FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense323534New York