Individual ProviderTerry DarbyLicensed Practical NurseNursing Service ProvidersPractice Address120 E Main St Ste 5, Patchogue, NY 11772-3196(631) 647-8838PECOS EnrollmentBased on the most recent information from CMS, provider Terry Darby 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 ID1790053429Provider TypeIndividualFull NameDarby, TerryTitleMrs.CredentialLPNGenderFemaleSole ProprietorNoEnumeration Date12/8/2011Last Updated5/18/2023Contact InformationPractice LocationPractice Address120 E Main St Ste 5, Patchogue, NY 11772-3196Phone(631) 647-8838FaxUnlisted FaxMailing LocationMailing Address313 Center Oaks Trl, Bay Shore, NY 11706-7147PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense229189New York