Individual ProviderAntoneta KolaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address100 Woods Rd, Valhalla, NY 10595-1530(914) 493-7000PECOS EnrollmentBased on the most recent information from CMS, provider Antoneta Kola is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1992296313Provider TypeIndividualFull NameKola, AntonetaCredentialFNP-BCGenderFemaleSole ProprietorNoEnumeration Date5/21/2018Last Updated10/9/2018Contact InformationPractice LocationPractice Address100 Woods Rd, Valhalla, NY 10595-1530Phone(914) 493-7000FaxUnlisted FaxMailing LocationMailing Address100 Woods Rd, Valhalla, NY 10595-1530PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense342758New York