Rebecca Ashley Jarvis | Holbrook, NY • PECOS Search

Rebecca Ashley Jarvis

Specialist

Other Service Providers

44 Avis Dr, Holbrook, NY 11741-2515

PECOS Enrollment

Based on the most recent information from CMS, provider Rebecca Ashley Jarvis does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:04 PM.

Profile Details

Provider ID
1861278012
Provider Type
Individual
Full Name
Jarvis, Rebecca Ashley
Gender
Female

Sole Proprietor
Yes
Enumeration Date
9/5/2023
Last Updated
9/5/2023

Contact Information

Practice Location

44 Avis Dr, Holbrook, NY 11741-2515

Unlisted Fax

Mailing Location

PO Box 482, Holbrook, NY 11741-0482

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License 1728965232 New York