Individual ProviderVallery Philleseter DacostaRegistered NurseNursing Service ProvidersPractice Address3244 Wilson Ave, Ph, Bronx, NY 10469-2908(718) 655-8326PECOS EnrollmentBased on the most recent information from CMS, provider Vallery Philleseter Dacosta 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 7 days ago.Profile DetailsProvider ID1700184785Provider TypeIndividualFull NameDacosta, Vallery PhilleseterTitleMrs.CredentialRNGenderFemaleSole ProprietorYesEnumeration Date3/1/2011Last Updated3/1/2011Contact InformationPractice LocationPractice Address3244 Wilson Ave, Ph, Bronx, NY 10469-2908Phone(718) 655-8326FaxUnlisted FaxMailing LocationMailing Address3244 Wilson Ave, Ph, Bronx, NY 10469-2908Phone(718) 655-8326FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense423102-1New York