Individual ProviderDana RutynaPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address150 55th St, Brooklyn, NY 11220-2508(718) 630-7351(917) 699-7102PECOS EnrollmentBased on the most recent information from CMS, provider Dana Rutyna 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 today at 9:43 AM.Profile DetailsProvider ID1033404470Provider TypeIndividualFull NameRutyna, DanaCredentialP.A.GenderFemaleSole ProprietorNoEnumeration Date6/14/2011Last Updated9/12/2022Contact InformationPractice LocationPractice Address150 55th St, Brooklyn, NY 11220-2508Phone(718) 630-7351FaxUnlisted FaxMailing LocationMailing Address1261 85th St, Brooklyn, NY 11228-3309Phone(917) 699-7102FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense003286-1New York