Kassandra M Nitti | Holbrook, NY • PECOS Search

Kassandra M Nitti

Specialist

Other Service Providers

1370 Coates Ave, Holbrook, NY 11741-2426

PECOS Enrollment

Based on the most recent information from CMS, provider Kassandra M Nitti does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:04 PM.

Profile Details

Provider ID
1043861321
Provider Type
Individual
Full Name
Nitti, Kassandra M
Title
Ms.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/26/2019
Last Updated
9/26/2019

Contact Information

Practice Location

1370 Coates Ave, Holbrook, NY 11741-2426

Unlisted Fax

Mailing Location

1370 Coates Ave, Holbrook, NY 11741-2426

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer