Individual ProviderKathy Sheron BradyLicensed Practical NurseNursing Service ProvidersPractice Address700 Broadway, Apt. #35, Amityville, NY 11701-2246(678) 643-8600PECOS EnrollmentBased on the most recent information from CMS, provider Kathy Sheron Brady 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 ID1871823864Provider TypeIndividualFull NameBrady, Kathy SheronTitleMissCredentialL.P.N.GenderFemaleSole ProprietorYesEnumeration Date1/13/2010Last Updated1/13/2010Contact InformationPractice LocationPractice Address700 Broadway, Apt. #35, Amityville, NY 11701-2246Phone(678) 643-8600FaxUnlisted FaxMailing LocationMailing Address700 Broadway, Apt. #35, Amityville, NY 11701-2246Phone(678) 643-8600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense281154-1New York