Individual ProviderMichael SandsCounselorBehavioral Health & Social Service ProvidersPractice Address280 Park Avenue South, Suite 17l, New York, NY 10010(212) 677-1675PECOS EnrollmentBased on the most recent information from CMS, provider Michael Sands is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:42 AM.Profile DetailsProvider ID1861557175Provider TypeIndividualFull NameSands, MichaelTitleMr.CredentialLCSWGenderMaleSole ProprietorYesEnumeration Date12/27/2006Last Updated10/2/2014Contact InformationPractice LocationPractice Address280 Park Avenue South, Suite 17l, New York, NY 10010Phone(212) 677-1675Fax(314) 667-1675Mailing LocationMailing Address280 Park Avenue South, Suite 17l, New York, NY 10010Phone(212) 677-1675Fax(314) 667-1675Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseR033654-1New York