Michelle Faclone | Holbrook, NY • PECOS Search

Michelle Faclone

Specialist

Other Service Providers

321 S Roberts St, Holbrook, NY 11741-3844

PECOS Enrollment

Based on the most recent information from CMS, provider Michelle Faclone 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 12:04 PM.

Profile Details

Provider ID
1710279880
Provider Type
Individual
Full Name
Faclone, Michelle
Gender
Female

Sole Proprietor
No
Enumeration Date
5/9/2011
Last Updated
5/9/2011

Contact Information

Practice Location

321 S Roberts St, Holbrook, NY 11741-3844

Unlisted Fax

Mailing Location

321 S Roberts St, Holbrook, NY 11741-3844

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer