Individual ProviderTaffie RayLicensed Practical NurseNursing Service ProvidersPractice Address375 Bay Ave, Patchogue, NY 11772-4022(631) 294-2517PECOS EnrollmentBased on the most recent information from CMS, provider Taffie Ray 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 ID1710431010Provider TypeIndividualFull NameRay, TaffieCredentialLPNGenderFemaleSole ProprietorNoEnumeration Date8/4/2016Last Updated8/4/2016Contact InformationPractice LocationPractice Address375 Bay Ave, Patchogue, NY 11772-4022Phone(631) 294-2517FaxUnlisted FaxMailing LocationMailing Address375 Bay Ave, Patchogue, NY 11772-4022Phone(631) 294-2517FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense322499-1New York