Individual ProviderGuencia BeaubrunLicensed Practical NurseNursing Service ProvidersPractice Address365 Broadway, Amityville, NY 11701-2716(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Guencia Beaubrun 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 9:43 AM.Profile DetailsProvider ID1619353570Provider TypeIndividualFull NameBeaubrun, GuenciaGenderFemaleSole ProprietorYesEnumeration Date8/3/2015Last Updated8/3/2015Contact InformationPractice LocationPractice Address365 Broadway, Amityville, NY 11701-2716Phone(631) 608-8523FaxUnlisted FaxMailing LocationMailing Address365 Broadway, Amityville, NY 11701-2716PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense321826-1New York