Individual ProviderMichael Stephen ShatkinStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOne Gustave Levy Place, New York, NY 10029(212) 241-1621PECOS EnrollmentBased on the most recent information from CMS, provider Michael Stephen Shatkin 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 5 days ago.Profile DetailsProvider ID1104562214Provider TypeIndividualFull NameShatkin, Michael StephenTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date5/11/2022Last Updated6/27/2022Contact InformationPractice LocationPractice AddressOne Gustave Levy Place, New York, NY 10029Phone(212) 241-1621FaxUnlisted FaxMailing LocationMailing AddressOne Gustave Levy Place, Box 1188, New York, NY 10029-0312Phone(212) 241-1621FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer