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Edith Michelle Herrera

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598

PECOS Enrollment

This provider is enrolled in PECOS as EDITH HERRERA.

Based on the most recent information from CMS, provider Edith Michelle Herrera is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:24 AM.

Profile Details

Provider ID
1831079243
Provider Type
Individual
Full Name
Herrera, Edith Michelle
Gender
Female

Sole Proprietor
No
Enumeration Date
9/5/2025
Last Updated
9/5/2025

Contact Information

Practice Location

2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598

(631) 751-7988

Unlisted Fax

Mailing Location

2500 Nesconset Hwy Bldg 22b, Stony Brook, NY 11790-2598

(631) 751-7988

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 054903-01 New York

Edith Michelle Herrera

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Fama, Michael

Optimal Care Physical Therapy, Pc

Bahnken, Christopher

Fellows, Mark Anthony

Professional Orthopedic And Sports Physical Therapy, Pc

Schoenfeld, Lauren Hiller

Wong, Trevor S

Capitelli, Corrine

Demarco, Dominick

Anthony, Shana