Individual ProviderBeyzanur DemirogluLicensed Practical NurseNursing Service ProvidersPractice Address118 La Bonne Vie Dr Apt C, East Patchogue, NY 11772-4395(631) 576-5288PECOS EnrollmentBased on the most recent information from CMS, provider Beyzanur Demiroglu 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 ID1619516754Provider TypeIndividualFull NameDemiroglu, BeyzanurGenderFemaleSole ProprietorNoEnumeration Date1/6/2020Last Updated1/6/2020Contact InformationPractice LocationPractice Address118 La Bonne Vie Dr Apt C, East Patchogue, NY 11772-4395Phone(631) 576-5288FaxUnlisted FaxMailing LocationMailing Address118 La Bonne Vie Dr Apt C, East Patchogue, NY 11772-4395Phone(631) 576-5288FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense328990New York