Individual ProviderRyosuke MisawaSurgeryAllopathic & Osteopathic PhysiciansPractice Address100 Woods Rd Fl Acp3, Valhalla, NY 10595-1530(914) 493-8916(914) 909-9018PECOS EnrollmentBased on the most recent information from CMS, provider Ryosuke Misawa 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 yesterday at 12:14 PM.Profile DetailsProvider ID1124387907Provider TypeIndividualFull NameMisawa, RyosukeCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/14/2012Last Updated7/8/2021Contact InformationPractice LocationPractice Address100 Woods Rd Fl Acp3, Valhalla, NY 10595-1530Phone(914) 493-8916FaxUnlisted FaxMailing LocationMailing Address19 Bradhurst Ave Ste 3100n, Hawthorne, NY 10532-2140Phone(914) 909-9018FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense308337New YorkCode204F00000XDescriptionTransplant SurgeryAllopathic & Osteopathic PhysiciansLicense308337New York