Individual ProviderKathleen Ann SalakNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address450 Clarkson Ave, Dept. Of Surgery Box 40, Brooklyn, NY 11203-2056(718) 270-2220PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Ann Salak 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 2 days ago.Profile DetailsProvider ID1083861033Provider TypeIndividualFull NameSalak, Kathleen AnnTitleMrs.CredentialNPGenderFemaleSole ProprietorNoEnumeration Date8/21/2008Last Updated8/21/2008Contact InformationPractice LocationPractice Address450 Clarkson Ave, Dept. Of Surgery Box 40, Brooklyn, NY 11203-2056Phone(718) 270-2220Fax(718) 270-2466Mailing LocationMailing Address450 Clarkson Ave, Dept. Of Surgery Box 40, Brooklyn, NY 11203-2056Phone(718) 270-2220Fax(718) 270-2466Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense333275New York