Individual ProviderLucy AnthonyRegistered NurseNursing Service ProvidersPractice Address21010 Grand Central Pkwy, Queens Village, NY 11427-1725(718) 217-9733PECOS EnrollmentBased on the most recent information from CMS, provider Lucy Anthony 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 3 days ago.Profile DetailsProvider ID1962723106Provider TypeIndividualFull NameAnthony, LucyGenderFemaleSole ProprietorYesEnumeration Date6/22/2010Last Updated6/22/2010Contact InformationPractice LocationPractice Address21010 Grand Central Pkwy, Queens Village, NY 11427-1725Phone(718) 217-9733FaxUnlisted FaxMailing LocationMailing Address21010 Grand Central Pkwy, Queens Village, NY 11427-1725PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense548530-1New York