Individual ProviderYevgeny GililovInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address506 6th St, Brooklyn, NY 11215-3609(718) 780-7343PECOS EnrollmentBased on the most recent information from CMS, provider Yevgeny Gililov 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 10:58 AM.Profile DetailsProvider ID1144682576Provider TypeIndividualFull NameGililov, YevgenyGenderMaleSole ProprietorNoEnumeration Date3/24/2016Last Updated7/23/2019Contact InformationPractice LocationPractice Address506 6th St, Brooklyn, NY 11215-3609Phone(718) 780-7343Fax(718) 780-3259Mailing LocationMailing Address506 6th St, Brooklyn, NY 11215-3609PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense35137056OhioCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer