Individual ProviderYelena NemtsovaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address291 Robinson Ave, Staten Island, NY 10312-5609(917) 622-2612PECOS EnrollmentBased on the most recent information from CMS, provider Yelena Nemtsova 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 34 days ago.Profile DetailsProvider ID1619111689Provider TypeIndividualFull NameNemtsova, YelenaTitleMrs.CredentialPT, DPTGenderFemaleSole ProprietorYesEnumeration Date4/21/2009Last Updated4/21/2009Contact InformationPractice LocationPractice Address291 Robinson Ave, Staten Island, NY 10312-5609Phone(917) 622-2612FaxUnlisted FaxMailing LocationMailing Address291 Robinson Ave, Staten Island, NY 10312-5609Phone(917) 622-2612FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense15516New York