Individual ProviderAmber CollinsLicensed Practical NurseNursing Service ProvidersPractice Address16 Penndale Dr, Amityville, NY 11701-2026(843) 499-6094PECOS EnrollmentBased on the most recent information from CMS, provider Amber Collins 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 ID1679090211Provider TypeIndividualFull NameCollins, AmberTitleMrs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date8/24/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address16 Penndale Dr, Amityville, NY 11701-2026Phone(843) 499-6094FaxUnlisted FaxMailing LocationMailing Address16 Penndale Dr, Amityville, NY 11701-2026Phone(843) 499-6094FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense329831New YorkProvider IdentifiersIDDescriptionIssuerID329831DescriptionOtherIssuerLPN LICENSE NUMBERNew York