Individual ProviderMatina Elektra KakalisStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressOne Gustave L. Levy Place, Department Of Psychiatry, New York, NY 10029(908) 705-1052PECOS EnrollmentBased on the most recent information from CMS, provider Matina Elektra Kakalis 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 5 days ago.Profile DetailsProvider ID1245032655Provider TypeIndividualFull NameKakalis, Matina ElektraTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/26/2025Last Updated3/26/2025Contact InformationPractice LocationPractice AddressOne Gustave L. Levy Place, Department Of Psychiatry, New York, NY 10029Phone(908) 705-1052FaxUnlisted FaxMailing LocationMailing AddressOne Gustave L. Levy Place, Department Of Psychiatry, New York, NY 10029PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer