Somone Monique Pernell | Amityville, NY • PECOS Search

Somone Monique Pernell

Licensed Practical Nurse

Nursing Service Providers

456 Bayview Ave, Amityville, NY 11701-2631

PECOS Enrollment

Based on the most recent information from CMS, provider Somone Monique Pernell 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 9:43 AM.

Profile Details

Provider ID
1780227645
Provider Type
Individual
Full Name
Pernell, Somone Monique
Gender
Female

Sole Proprietor
No
Enumeration Date
10/23/2019
Last Updated
10/23/2019

Contact Information

Practice Location

456 Bayview Ave, Amityville, NY 11701-2631

Unlisted Fax

Mailing Location

456 Bayview Ave, Amityville, NY 11701-2631

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 336566 New York