Individual ProviderAndrea Elizabeth RobertsLicensed Practical NurseNursing Service ProvidersPractice Address555 Albany Ave, Amityville, NY 11701-1115(631) 842-6000(631) 672-1302PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Elizabeth Roberts 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 ID1922300318Provider TypeIndividualFull NameRoberts, Andrea ElizabethTitleMrs.CredentialL.P.N.GenderFemaleSole ProprietorNoEnumeration Date11/17/2010Last Updated11/17/2010Contact InformationPractice LocationPractice Address555 Albany Ave, Amityville, NY 11701-1115Phone(631) 842-6000FaxUnlisted FaxMailing LocationMailing Address305 42nd St, Copiague, NY 11726-1109Phone(631) 672-1302FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense279749-1New York