Individual ProviderMonika Pol-WnukPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address475 Seaview Ave, Staten Island, NY 10305-3436(718) 987-0640(646) 824-3115PECOS EnrollmentBased on the most recent information from CMS, provider Monika Pol-Wnuk 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 6 days ago.Profile DetailsProvider ID1225478308Provider TypeIndividualFull NamePol-Wnuk, MonikaCredentialPAGenderFemaleSole ProprietorNoEnumeration Date7/3/2013Last Updated7/3/2013Contact InformationPractice LocationPractice Address475 Seaview Ave, Staten Island, NY 10305-3436Phone(718) 987-0640FaxUnlisted FaxMailing LocationMailing Address200 Colony Ave, Staten Island, NY 10306-5904Phone(646) 824-3115FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense016563-1New York