Individual ProviderDonna DeaneLicensed Practical NurseNursing Service ProvidersPractice Address373 Broadway, Amityville, NY 11701-2707(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Donna Deane 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 ID1881956332Provider TypeIndividualFull NameDeane, DonnaTitleMs.GenderFemaleSole ProprietorYesEnumeration Date6/11/2012Last Updated6/11/2012Contact InformationPractice LocationPractice Address373 Broadway, Amityville, NY 11701-2707Phone(631) 608-8523FaxUnlisted FaxMailing LocationMailing Address373 Broadway, Amityville, NY 11701-2707Phone(631) 608-8523FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense284246-1New York