Individual ProviderDebra VegaLicensed Practical NurseNursing Service ProvidersPractice Address373 Broadway, Amityville, NY 11701-2707(631) 608-8523(631) 954-8276PECOS EnrollmentBased on the most recent information from CMS, provider Debra Vega 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 ID1962760868Provider TypeIndividualFull NameVega, DebraTitleMs.CredentialLPNGenderFemaleSole ProprietorYesEnumeration Date4/27/2012Last Updated4/27/2012Contact InformationPractice LocationPractice Address373 Broadway, Amityville, NY 11701-2707Phone(631) 608-8523FaxUnlisted FaxMailing LocationMailing Address72 Dartmouth St, Islip, NY 11751-2126Phone(631) 954-8276FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense280815-1New York