Individual ProviderEugene TsyganovskiyInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address506 6th St, Brooklyn, NY 11215-3609(718) 780-5130(818) 653-7933PECOS EnrollmentBased on the most recent information from CMS, provider Eugene Tsyganovskiy 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 2 days ago.Profile DetailsProvider ID1174055008Provider TypeIndividualFull NameTsyganovskiy, EugeneGenderMaleSole ProprietorNoEnumeration Date3/30/2017Last Updated1/25/2021Contact InformationPractice LocationPractice Address506 6th St, Brooklyn, NY 11215-3609Phone(718) 780-5130FaxUnlisted FaxMailing LocationMailing Address1161 Spazier Ave Apt 9, Glendale, CA 91201-3725Phone(818) 653-7933FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA169604CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer