Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agnes Percoco

Individual provider Licensed Practical Nurse · NPI 1568852150

Agnes Percoco is a Licensed Practical Nurse in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015

Practice location Address checks out

627 Jayne Blvd
Port Jefferson, NY 11776-2947
Phone: (631) 331-5218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 144237-1 (NY)

Record details

NPI number1568852150
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2015
Last updated in NPPESFebruary 3, 2015
Mailing address627 Jayne Blvd, Port Jefferson Station, NY 11776-2947

Other providers in Port Jefferson