Individual ProviderElizabeth KolodInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address17 E 102nd St, New York, NY 10029(646) 951-1693(646) 605-8186PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Kolod 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 6 days ago.Profile DetailsProvider ID1720434723Provider TypeIndividualFull NameKolod, ElizabethGenderFemaleSole ProprietorNoEnumeration Date5/9/2016Last Updated6/3/2021Contact InformationPractice LocationPractice Address17 E 102nd St, New York, NY 10029Phone(646) 951-1693FaxUnlisted FaxMailing LocationMailing Address150 E 42nd St Fl 9, New York, NY 10017-5699Phone(646) 605-8186FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense296563New York