Individual ProviderSoraya KistooRegistered NurseNursing Service ProvidersPractice Address230 N Main St, Spring Valley, NY 10977-4020(845) 363-8145PECOS EnrollmentBased on the most recent information from CMS, provider Soraya Kistoo 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 ID1689110033Provider TypeIndividualFull NameKistoo, SorayaGenderFemaleSole ProprietorNoEnumeration Date1/10/2017Last Updated1/10/2017Contact InformationPractice LocationPractice Address230 N Main St, Spring Valley, NY 10977-4020Phone(845) 363-8145FaxUnlisted FaxMailing LocationMailing Address230 N Main St, Spring Valley, NY 10977-4020Phone(845) 363-8145FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense663187New York