OrganizationSak Medical PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2069 2nd Ave, New York, NY 10029-4101(212) 410-2900PECOS EnrollmentBased on the most recent information from CMS, provider Sak 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 ID1407217706Provider TypeOrganizationFull NameSak Medical PcSubpartNoEnumeration Date3/14/2016Last Updated10/26/2016Contact InformationPractice LocationPractice Address2069 2nd Ave, New York, NY 10029-4101Phone(212) 410-2900Fax(212) 410-2913Mailing LocationMailing Address2069 2nd Ave, New York, NY 10029-4101Phone(212) 410-2900Fax(212) 410-2913Authorized OfficialNameKazeem, Saka (Md)Phone(212) 410-2900Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207RG0300XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer