Individual ProviderYevhen ReznykInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4500 Parsons Blvd, Fhmc, Department Of Medicine, Flushing, NY 11355-2205(718) 670-5000(631) 473-1320PECOS EnrollmentBased on the most recent information from CMS, provider Yevhen Reznyk is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1720358575Provider TypeIndividualFull NameReznyk, YevhenCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date1/11/2012Last Updated10/23/2019Contact InformationPractice LocationPractice Address4500 Parsons Blvd, Fhmc, Department Of Medicine, Flushing, NY 11355-2205Phone(718) 670-5000FaxUnlisted FaxMailing LocationMailing Address75 N Country Rd, J Mather Hospital, Department Of Hospital Medicine, Port Jefferson, NY 11777-2119Phone(631) 473-1320FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense276398New YorkCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicense276398New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer