Individual ProviderTiffany RiveraLicensed Practical NurseNursing Service ProvidersPractice Address555 Albany Ave, Amityville, NY 11701-1115(516) 984-2666PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Rivera 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 ID1750727533Provider TypeIndividualFull NameRivera, TiffanyGenderFemaleSole ProprietorYesEnumeration Date5/20/2013Last Updated5/20/2013Contact InformationPractice LocationPractice Address555 Albany Ave, Amityville, NY 11701-1115Phone(516) 984-2666FaxUnlisted FaxMailing LocationMailing AddressPO Box 83, Nesconset, NY 11767-0083PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense309669-1New York