Individual ProviderRoland NassimInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address138-48 Elder Ave, Flushing, NY 11355(718) 321-9500(516) 773-3942PECOS EnrollmentBased on the most recent information from CMS, provider Roland Nassim 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 6 days ago.Profile DetailsProvider ID1598852451Provider TypeIndividualFull NameNassim, RolandCredentialMDGenderMaleSole ProprietorNoEnumeration Date10/10/2006Last Updated10/7/2008Contact InformationPractice LocationPractice Address138-48 Elder Ave, Flushing, NY 11355Phone(718) 321-9500Fax(718) 321-3277Mailing LocationMailing Address1000 Northern Blvd Suite 375, Great Neck, NY 11021Phone(516) 773-3942Fax(718) 321-3277Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense176223New YorkProvider IdentifiersIDDescriptionIssuerID06F882DescriptionOtherIssuerMEDICARE PROVIDER NUMBERNew York