Audrey Annmarie Beckford | East Patchogue, NY • PECOS Search

Audrey Annmarie Beckford

Licensed Practical Nurse

Nursing Service Providers

415 Columbus Ave, East Patchogue, NY 11772-5209

PECOS Enrollment

Based on the most recent information from CMS, provider Audrey Annmarie Beckford 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 2 days ago.

Profile Details

Provider ID
1760723043
Provider Type
Individual
Full Name
Beckford, Audrey Annmarie
Title
Ms.
Credential
LPN

Gender
Female
Sole Proprietor
No
Enumeration Date
3/11/2013
Last Updated
3/11/2013

Contact Information

Practice Location

415 Columbus Ave, East Patchogue, NY 11772-5209

Unlisted Fax

Mailing Location

415 Columbus Ave, East Patchogue, NY 11772-5209

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 313660-1 New York