Individual ProviderMark TartakovskyPharmacistPharmacy Service ProvidersPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5425(718) 250-7998(845) 553-5600PECOS EnrollmentBased on the most recent information from CMS, provider Mark Tartakovsky does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1154671832Provider TypeIndividualFull NameTartakovsky, MarkTitleDr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date9/11/2012Last Updated1/10/2024Contact InformationPractice LocationPractice Address121 Dekalb Ave, Brooklyn, NY 11201-5425Phone(718) 250-7998Fax(718) 250-6163Mailing LocationMailing Address506 Oriental Blvd, Brooklyn, NY 11235Phone(845) 553-5600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense057110-1New York