Individual ProviderRosaura S VasquezLicensed Practical NurseNursing Service ProvidersPractice Address119 La Bonne Vie Dr Apt B, East Patchogue, NY 11772-4396(631) 294-2800PECOS EnrollmentBased on the most recent information from CMS, provider Rosaura S 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 ID1619106432Provider TypeIndividualFull NameVasquez, Rosaura STitleMs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date7/14/2009Last Updated7/14/2009Contact InformationPractice LocationPractice Address119 La Bonne Vie Dr Apt B, East Patchogue, NY 11772-4396Phone(631) 294-2800FaxUnlisted FaxMailing LocationMailing Address119 La Bonne Vie Dr Apt B, East Patchogue, NY 11772-4396Phone(631) 294-2800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense287445New York