Individual ProviderMarcella MonroeLicensed Practical NurseNursing Service ProvidersPractice Address16 Mainsail Dr, Patchogue, NY 11772-3409(631) 627-3180PECOS EnrollmentBased on the most recent information from CMS, provider Marcella Monroe 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 ID1992013643Provider TypeIndividualFull NameMonroe, MarcellaCredentialLPNGenderFemaleSole ProprietorYesEnumeration Date9/15/2010Last Updated9/15/2010Contact InformationPractice LocationPractice Address16 Mainsail Dr, Patchogue, NY 11772-3409Phone(631) 627-3180FaxUnlisted FaxMailing LocationMailing Address16 Mainsail Dr, Patchogue, NY 11772-3409Phone(631) 627-3180FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense282229New YorkCode164W00000XDescriptionLicensed Practical NurseNursing Service ProvidersLicense282229-1New York