Individual ProviderRebecka Abigail BecklesLicensed Practical NurseNursing Service ProvidersPractice Address4 David Way, East Patchogue, NY 11772-4598(631) 603-1154PECOS EnrollmentBased on the most recent information from CMS, provider Rebecka Abigail Beckles 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 ID1710350947Provider TypeIndividualFull NameBeckles, Rebecka AbigailTitleMs.GenderFemaleSole ProprietorYesEnumeration Date11/10/2015Last Updated11/10/2015Contact InformationPractice LocationPractice Address4 David Way, East Patchogue, NY 11772-4598Phone(631) 603-1154FaxUnlisted FaxMailing LocationMailing Address4 David Way, East Patchogue, NY 11772-4598Phone(631) 603-1154FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense314781New York