Anna Faktorovich | Brooklyn, NY • PECOS Search

Anna Faktorovich

Specialist

Other Service Providers

314 67th St Apt 1l, Brooklyn, NY 11220-5349

PECOS Enrollment

Based on the most recent information from CMS, provider Anna Faktorovich does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1689116576
Provider Type
Individual
Full Name
Faktorovich, Anna
Gender
Female

Sole Proprietor
No
Enumeration Date
11/9/2016
Last Updated
11/9/2016

Contact Information

Practice Location

314 67th St Apt 1l, Brooklyn, NY 11220-5349

Unlisted Fax

Mailing Location

314 67th St Apt 1l, Brooklyn, NY 11220-5349

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 174400000X Primary	Description Specialist Other Service Providers	License Unlisted Issuer