Stanley Regis | East Patchogue, NY • PECOS Search

Stanley Regis

Licensed Practical Nurse

Nursing Service Providers

46 Corbin Ave, East Patchogue, NY 11772-4583

PECOS Enrollment

Based on the most recent information from CMS, provider Stanley Regis 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 2 days ago.

Profile Details

Provider ID
1861779514
Provider Type
Individual
Full Name
Regis, Stanley
Credential
LPN

Gender
Male
Sole Proprietor
No
Enumeration Date
11/9/2011
Last Updated
11/9/2011

Contact Information

Practice Location

46 Corbin Ave, East Patchogue, NY 11772-4583

Unlisted Fax

Mailing Location

46 Corbin Ave, East Patchogue, NY 11772-4583

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 300721 New York