OrganizationFive Crest Medical Diagnostic P.C.SpecialistOther Service ProvidersPractice Address124 Bay Ridge Ave, Brooklyn, NY 11220-5109(718) 836-2199(718) 599-1007PECOS EnrollmentBased on the most recent information from CMS, provider Five Crest Medical Diagnostic P.C. 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 3 days ago.Profile DetailsProvider ID1104378058Provider TypeOrganizationFull NameFive Crest Medical Diagnostic P.C.SubpartNoEnumeration Date10/26/2016Last Updated7/6/2017Contact InformationPractice LocationPractice Address124 Bay Ridge Ave, Brooklyn, NY 11220-5109Phone(718) 836-2199FaxUnlisted FaxMailing LocationMailing AddressPO Box 7114, Hicksville, NY 11802-7114Phone(718) 599-1007FaxUnlisted FaxAuthorized OfficialNameWalker, Sonia (Medical Director)Phone(718) 599-1007Provider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer