Individual ProviderKelsey BryantInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address17 E 102nd St, New York, NY 10029-5204(212) 659-8551PECOS EnrollmentBased on the most recent information from CMS, provider Kelsey Bryant 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 5 days ago.Profile DetailsProvider ID1619362043Provider TypeIndividualFull NameBryant, KelseyTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/2/2015Last Updated3/25/2022Contact InformationPractice LocationPractice Address17 E 102nd St, New York, NY 10029-5204Phone(212) 659-8551Fax(212) 831-8116Mailing LocationMailing Address1 Gustave L Levy Pl # 1118, New York, NY 10029-6504PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense292763New York