Individual ProviderAshley RegisLicensed Practical NurseNursing Service ProvidersPractice Address46 Corbin Ave, East Patchogue, NY 11772-4583(631) 559-6917PECOS EnrollmentBased on the most recent information from CMS, provider Ashley Regis 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 2 days ago.Profile DetailsProvider ID1952795833Provider TypeIndividualFull NameRegis, AshleyGenderFemaleSole ProprietorNoEnumeration Date3/27/2015Last Updated3/27/2015Contact InformationPractice LocationPractice Address46 Corbin Ave, East Patchogue, NY 11772-4583Phone(631) 559-6917FaxUnlisted FaxMailing LocationMailing Address46 Corbin Ave, East Patchogue, NY 11772-4583Phone(631) 559-6917FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense321211-1New York