Individual ProviderDonna Marie GresioLicensed Practical NurseNursing Service ProvidersPractice Address353 Patchogue Yaphank Rd, East Patchogue, NY 11772-4826(631) 205-4188PECOS EnrollmentBased on the most recent information from CMS, provider Donna Marie Gresio 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 ID1629549381Provider TypeIndividualFull NameGresio, Donna MarieCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date12/6/2018Last Updated12/6/2018Contact InformationPractice LocationPractice Address353 Patchogue Yaphank Rd, East Patchogue, NY 11772-4826Phone(631) 205-4188FaxUnlisted FaxMailing LocationMailing Address353 Patchogue Yaphank Rd, East Patchogue, NY 11772-4826Phone(631) 205-4188FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense251563New York