Individual ProviderSofya KostanyanInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address506 6th St, Brooklyn, NY 11215-3609(718) 780-3000PECOS EnrollmentBased on the most recent information from CMS, provider Sofya Kostanyan 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 3 days ago.Profile DetailsProvider ID1578726337Provider TypeIndividualFull NameKostanyan, SofyaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/2/2008Last Updated12/6/2022Contact InformationPractice LocationPractice Address506 6th St, Brooklyn, NY 11215-3609Phone(718) 780-3000FaxUnlisted FaxMailing LocationMailing Address506 6th St, Brooklyn, NY 11215-3609PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense259081New York