Individual ProviderChristopher PolitoEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address101 Nicolls Rd, Stony Brook, NY 11794-3097(631) 444-0650PECOS EnrollmentBased on the most recent information from CMS, provider Christopher Polito 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 4 days ago.Profile DetailsProvider ID1447679147Provider TypeIndividualFull NamePolito, ChristopherCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/9/2014Last Updated12/6/2023Contact InformationPractice LocationPractice Address101 Nicolls Rd, Stony Brook, NY 11794-3097Phone(631) 444-0650FaxUnlisted FaxMailing LocationMailing Address101 Nicolls Rd, Hsc, L4, Rm 050, Stony Brook, NY 11794-8350Phone(631) 444-0650FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense288942New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer