OrganizationMarina Podval Medical PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4332 Kissena Blvd Apt La, Flushing, NY 11355-2944(718) 454-4356(718) 939-4509PECOS EnrollmentBased on the most recent information from CMS, provider Marina Podval Medical Pc 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 ID1245554609Provider TypeOrganizationFull NameMarina Podval Medical PcSubpartNoEnumeration Date3/15/2010Last Updated4/9/2012Contact InformationPractice LocationPractice Address4332 Kissena Blvd Apt La, Flushing, NY 11355-2944Phone(718) 454-4356FaxUnlisted FaxMailing LocationMailing Address4332 Kissena Blvd Apt La, Flushing, NY 11355-2944Phone(718) 939-4509FaxUnlisted FaxAuthorized OfficialNamePodval, Marina (Md)Phone(718) 232-9191Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer