Georgia V. Phipps | Amityville, NY • PECOS Search

Georgia V. Phipps

Licensed Practical Nurse

Nursing Service Providers

365 Broadway, Amityville, NY 11701-2716

PECOS Enrollment

Based on the most recent information from CMS, provider Georgia V. Phipps does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1619487469
Provider Type
Individual
Full Name
Phipps, Georgia V.
Credential
LPN

Gender
Female
Sole Proprietor
No
Enumeration Date
10/6/2017
Last Updated
7/21/2022

Contact Information

Practice Location

365 Broadway, Amityville, NY 11701-2716

Unlisted Fax

Mailing Location

365 Broadway, Amityville, NY 11701-2716

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 329166 New York