Individual ProviderKais HyasatStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address161 Fort Washington Ave, 6th Floor, New York, NY 10032(212) 305-2708PECOS EnrollmentBased on the most recent information from CMS, provider Kais Hyasat 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 3 days ago.Profile DetailsProvider ID1336828631Provider TypeIndividualFull NameHyasat, KaisCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/13/2023Last Updated2/12/2024Contact InformationPractice LocationPractice Address161 Fort Washington Ave, 6th Floor, New York, NY 10032Phone(212) 305-2708FaxUnlisted FaxMailing LocationMailing Address1 Headland Road, North Curl Curl, Sydney, New South Wales 02099 (Australia)PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseP121493New York