Individual ProviderAntonetta CassieLicensed Practical NurseNursing Service ProvidersPractice Address365 Broadway, Amityville, NY 11701-2716(631) 608-8523PECOS EnrollmentBased on the most recent information from CMS, provider Antonetta Cassie 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 11:26 AM.Profile DetailsProvider ID1730625922Provider TypeIndividualFull NameCassie, AntonettaGenderFemaleSole ProprietorYesEnumeration Date1/11/2017Last Updated1/11/2017Contact InformationPractice LocationPractice Address365 Broadway, Amityville, NY 11701-2716Phone(631) 608-8523FaxUnlisted FaxMailing LocationMailing Address365 Broadway, Amityville, NY 11701-2716Phone(631) 608-8523FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense254459New York