OrganizationAvag Medical PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2124 1st Ave, New York, NY 10029-3306(212) 426-9222PECOS EnrollmentBased on the most recent information from CMS, provider Avag Medical Pc 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 6 days ago.Profile DetailsProvider ID1689683807Provider TypeOrganizationFull NameAvag Medical PcSubpartNoEnumeration Date8/5/2006Last Updated8/22/2020Contact InformationPractice LocationPractice Address2124 1st Ave, New York, NY 10029-3306Phone(212) 426-9222Fax(212) 426-1409Mailing LocationMailing AddressPO Box 578, New York, NY 10029-0243Phone(212) 426-9222Fax(212) 426-1409Authorized OfficialNameAvagyan, Igor Z. (President)Phone(212) 348-3620Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense218312New York