Individual ProviderRashida StattonLicensed Practical NurseNursing Service ProvidersPractice Address373 Broadway, Amityville, NY 11701-2707(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Rashida Statton 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 ID1821404963Provider TypeIndividualFull NameStatton, RashidaGenderFemaleSole ProprietorYesEnumeration Date7/9/2014Last Updated7/9/2014Contact InformationPractice LocationPractice Address373 Broadway, Amityville, NY 11701-2707Phone(631) 608-8523Fax(631) 608-8527Mailing LocationMailing Address373 Broadway, Amityville, NY 11701-2707PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense313843New York