Individual ProviderInna BulaevskyEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address160 N Midland Ave, Nyack, NY 10960-1912(845) 348-2000(718) 960-6240PECOS EnrollmentBased on the most recent information from CMS, provider Inna Bulaevsky 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 11:36 AM.Profile DetailsProvider ID1134625353Provider TypeIndividualFull NameBulaevsky, InnaCredentialDOGenderFemaleSole ProprietorNoEnumeration Date4/5/2018Last Updated8/18/2022Contact InformationPractice LocationPractice Address160 N Midland Ave, Nyack, NY 10960-1912Phone(845) 348-2000FaxUnlisted FaxMailing LocationMailing Address4422 3rd Ave, Braker Building, 4th Floor, Bronx, NY 10457-2545Phone(718) 960-6240Fax(718) 960-6125Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense346249New York