Individual ProviderJayesh LaliwalaPharmacistPharmacy Service ProvidersPractice Address1328 Saint Nicholas Ave, New York, NY 10033-7213(212) 568-1383PECOS EnrollmentBased on the most recent information from CMS, provider Jayesh Laliwala 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 10 days ago.Profile DetailsProvider ID1578736229Provider TypeIndividualFull NameLaliwala, JayeshGenderMaleSole ProprietorNoEnumeration Date4/2/2008Last Updated4/2/2008Contact InformationPractice LocationPractice Address1328 Saint Nicholas Ave, New York, NY 10033-7213Phone(212) 568-1383Fax(212) 568-1382Mailing LocationMailing Address1328 Saint Nicholas Ave, New York, NY 10033-7213Phone(212) 568-1383Fax(212) 568-1382Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense050219New York