Individual ProviderCarolyn PickettLicensed Practical NurseNursing Service ProvidersPractice Address56 Ronald Dr N, Amityville, NY 11701-2333(631) 987-3562PECOS EnrollmentBased on the most recent information from CMS, provider Carolyn Pickett 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 ID1942672746Provider TypeIndividualFull NamePickett, CarolynTitleMs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date10/20/2015Last Updated10/20/2015Contact InformationPractice LocationPractice Address56 Ronald Dr N, Amityville, NY 11701-2333Phone(631) 987-3562FaxUnlisted FaxMailing LocationMailing Address56 Ronald Dr N, Amityville, NY 11701-2333Phone(631) 987-3562FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense320935New York