Individual ProviderEsther Wilma VickersLicensed Practical NurseNursing Service ProvidersPractice Address65 Walnut Rd, Amityville, NY 11701-1022(631) 789-1004PECOS EnrollmentBased on the most recent information from CMS, provider Esther Wilma Vickers 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 ID1851893200Provider TypeIndividualFull NameVickers, Esther WilmaTitleMrs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date3/1/2018Last Updated3/1/2018Contact InformationPractice LocationPractice Address65 Walnut Rd, Amityville, NY 11701-1022Phone(631) 789-1004FaxUnlisted FaxMailing LocationMailing Address65 Walnut Rd, Amityville, NY 11701-1022Phone(631) 789-1004FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense282140-1New YorkProvider IdentifiersIDDescriptionIssuerID227028127DescriptionMedicaidIssuerUnlistedNew York