Individual ProviderAngeline Tassy-PetitRegistered NurseNursing Service ProvidersPractice Address4 Greenridge Way, Spring Valley, NY 10977-1813(845) 671-9199PECOS EnrollmentBased on the most recent information from CMS, provider Angeline Tassy-Petit 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 11:54 AM.Profile DetailsProvider ID1538515671Provider TypeIndividualFull NameTassy-Petit, AngelineGenderFemaleSole ProprietorYesEnumeration Date5/8/2016Last Updated5/8/2016Contact InformationPractice LocationPractice Address4 Greenridge Way, Spring Valley, NY 10977-1813Phone(845) 671-9199FaxUnlisted FaxMailing LocationMailing Address4 Greenridge Way, Spring Valley, NY 10977-1813Phone(845) 671-9199FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense709931-1New York