Individual ProviderEdith Michelle HerreraPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598(631) 751-7988PECOS EnrollmentBased on the most recent information from CMS, provider Edith Michelle Herrera 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 ID1831079243Provider TypeIndividualFull NameHerrera, Edith MichelleGenderFemaleSole ProprietorNoEnumeration Date9/5/2025Last Updated9/5/2025Contact InformationPractice LocationPractice Address2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598Phone(631) 751-7988FaxUnlisted FaxMailing LocationMailing Address2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598Phone(631) 751-7988FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense054903-01New York