Individual ProviderLyudmila BezprozvannayaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address450 Clarkson Ave, Brooklyn, NY 11203-2012(718) 331-7755PECOS EnrollmentBased on the most recent information from CMS, provider Lyudmila Bezprozvannaya 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 ID1124413968Provider TypeIndividualFull NameBezprozvannaya, LyudmilaGenderFemaleSole ProprietorYesEnumeration Date3/30/2015Last Updated3/30/2015Contact InformationPractice LocationPractice Address450 Clarkson Ave, Brooklyn, NY 11203-2012Phone(718) 331-7755Fax(718) 331-7755Mailing LocationMailing Address450 Clarkson Ave, Brooklyn, NY 11203-2012Phone(718) 331-7755Fax(718) 331-7755Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF336478-1New York