Individual ProviderMikhail KrotovskiyInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address20 York St, New Haven, CT 06510-3220(203) 688-1734(203) 573-6162PECOS EnrollmentBased on the most recent information from CMS, provider Mikhail Krotovskiy 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 yesterday at 12:14 PM.Profile DetailsProvider ID1326663261Provider TypeIndividualFull NameKrotovskiy, MikhailCredentialMDGenderMaleSole ProprietorNoEnumeration Date6/16/2020Last Updated5/12/2023Contact InformationPractice LocationPractice Address20 York St, New Haven, CT 06510-3220Phone(203) 688-1734FaxUnlisted FaxMailing LocationMailing Address64 Robbins St, Waterbury, CT 06708-2600Phone(203) 573-6162Fax(203) 573-6707Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense73717Connecticut