Individual ProviderAudrey A PowellLicensed Practical NurseNursing Service ProvidersPractice Address102 Madison St, Amityville, NY 11701-1524(631) 741-0327PECOS EnrollmentBased on the most recent information from CMS, provider Audrey A Powell 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 ID1851043871Provider TypeIndividualFull NamePowell, Audrey ATitleMrs.GenderFemaleSole ProprietorYesEnumeration Date1/20/2022Last Updated1/20/2022Contact InformationPractice LocationPractice Address102 Madison St, Amityville, NY 11701-1524Phone(631) 741-0327FaxUnlisted FaxMailing LocationMailing Address102 Madison St, Amityville, NY 11701-1524Phone(631) 741-0327FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense259733New York