Individual ProviderRohawne BrownLicensed Practical NurseNursing Service ProvidersPractice Address220 Clubhouse Dr, Patchogue, NY 11772-8203(203) 707-7805PECOS EnrollmentBased on the most recent information from CMS, provider Rohawne Brown 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 ID1699265553Provider TypeIndividualFull NameBrown, RohawneCredentialLPNGenderMaleSole ProprietorYesEnumeration Date5/16/2018Last Updated5/16/2018Contact InformationPractice LocationPractice Address220 Clubhouse Dr, Patchogue, NY 11772-8203Phone(203) 707-7805FaxUnlisted FaxMailing LocationMailing Address220 Clubhouse Dr, Patchogue, NY 11772-8203Phone(203) 707-7805FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense331442-1New York