Individual ProviderTanzelya LyamzinaLicensed Practical NurseNursing Service ProvidersPractice Address373 Broadway, 2nd Fl, Amityville, NY 11701-2707(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Tanzelya Lyamzina 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 ID1851660070Provider TypeIndividualFull NameLyamzina, TanzelyaTitleMs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date12/16/2011Last Updated12/16/2011Contact InformationPractice LocationPractice Address373 Broadway, 2nd Fl, Amityville, NY 11701-2707Phone(631) 608-8523Fax(631) 608-8527Mailing LocationMailing Address373 Broadway, 2nd Fl, Amityville, NY 11701-2707Phone(631) 608-8523Fax(631) 608-8527Provider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense308455New York