Individual ProviderLorenzo Rakesh SewananStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address630 West 168th Street, Department Of Internal Medicine, New York, NY 10032(347) 613-9645PECOS EnrollmentBased on the most recent information from CMS, provider Lorenzo Rakesh Sewanan 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 yesterday at 10:05 AM.Profile DetailsProvider ID1255910923Provider TypeIndividualFull NameSewanan, Lorenzo RakeshCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/7/2021Last Updated4/7/2021Contact InformationPractice LocationPractice Address630 West 168th Street, Department Of Internal Medicine, New York, NY 10032Phone(347) 613-9645FaxUnlisted FaxMailing LocationMailing Address9066 202nd St, Hollis, NY 11423-2717Phone(347) 613-9645FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer